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Arizona rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.48 / $64.09 / $105.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.06 / $151.96 / $274.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.17 / $140.22 / $191.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $75.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $140.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $107.06 / $634.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.13 / $59.95 / $90.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $59.95 / $90.31