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Arizona rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $25.91 / $45.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $48.21 / $87.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $44.49 / $60.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $36.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $60.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $29.09 / $242.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $23.21 / $34.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $23.01 / $26.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $23.21 / $34.97