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Arizona rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $9.01 / $14.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $52.02 / $94.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $48.00 / $65.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.56 / $6.58 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $8.66 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.66 / $16.00