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Arizona rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $41.60 / $92.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $117.05 / $211.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $108.00 / $147.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $98.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.08 / $43.24 / $460.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $56.30 / $105.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $56.30 / $105.12