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Arizona rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.38 / $57.49 / $83.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.51 / $121.06 / $218.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.78 / $111.70 / $150.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $114.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.83 / $85.28 / $501.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $47.76 / $71.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.16 / $47.76 / $71.94