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Arizona rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $17.60 / $74.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $12.43 / $33.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $50.00 / $157.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $38.15 / $68.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $35.20 / $57.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $15.42 / $21.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $6.68 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $8.01 / $14.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.12 / $8.00 / $9.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $8.01 / $14.85