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Arizona rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Facilitymedian $398 · 10th–90th $120–$1,0000%10%10th90th$398Professionalmedian $195 · 10th–90th $158–$3800%20%40%10th90th$195$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $489.78 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $446.68 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $229.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $331.13 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $186.21 / $275.42