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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
$59.50 / $62.67 / $105.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.14 / $148.60 / $268.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.83 / $137.11 / $186.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $141.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $105.73 / $621.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.93 / $58.63 / $88.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.99 / $58.63 / $88.31