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Arizona rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.26 / $60.23 / $106.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.02 / $112.05 / $202.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $103.39 / $140.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $140.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $78.94 / $563.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $53.95 / $81.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.76 / $53.95 / $81.27