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Arizona rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $36.31 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $60.26 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $39.81 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $27.54 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $34.67 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $27.54 / $40.74