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Arizona rates for HCPCS L3040

Foot Arch Support Removable Premolded Longitudinal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $30.42 / $152.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.53 / $52.48 / $94.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.32 / $48.43 / $65.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $65.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $36.97 / $264.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $25.27 / $38.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.84 / $25.27 / $38.06