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Arizona rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Facilitymedian $105 · 10th–90th $34–$2510%10%10th90th$105Professionalmedian $54 · 10th–90th $43–$930%20%10th90th$54$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $52.48 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $134.90 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $123.03 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $66.07 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $56.23 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $104.71