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Arizona rates for HCPCS L3649

Orthopedic Shoe Modification Addition Or Transfer Not Otherwise Specified (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $10.00 / $16.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $8.67 / $15.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $8.00 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $16.04 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14