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Arizona rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $16.96 / $37.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $40.75 / $73.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.20 / $37.60 / $51.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $40.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $17.55 / $187.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $22.95 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.04 / $22.95 / $42.66