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Arizona rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.41 / $766.11 / $1,286.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.82 / $1,816.45 / $3,284.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.07 / $1,676.09 / $2,283.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $897.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $1,845.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.65 / $1,279.73 / $7,517.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.04 / $716.63 / $1,079.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.04 / $716.63 / $1,079.50