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Arizona rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $37.44 / $75.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $108.38 / $195.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $100.00 / $136.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $114.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $38.85 / $414.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.57 / $50.67 / $94.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.45 / $50.67 / $94.46