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Arizona rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.91 / $197.10 / $323.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.26 / $427.20 / $772.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.64 / $394.19 / $537.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $230.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $168.57 / $428.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.03 / $329.24 / $1,940.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.47 / $184.37 / $277.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.63 / $184.37 / $277.72