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Arizona rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Facilitymedian $129 · 10th–90th $41–$3090%10%10th90th$129Professionalmedian $65 · 10th–90th $54–$1380%20%10th90th$65$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
$54.95 / $64.57 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $169.82 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $154.88 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $104.71 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $58.88 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $79.43 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $58.88 / $89.13