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Arizona rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $102 · 10th–90th $33–$2450%10%10th90th$102Professionalmedian $56 · 10th–90th $46–$1170%20%40%10th90th$56$0.1$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
$46.77 / $57.54 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $134.90 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $123.03 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $66.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $87.10 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $51.29 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $66.07 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $51.29 / $75.86