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Arizona rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $64.57 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $95.50 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $74.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $104.71 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $58.88 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $77.62 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $89.13