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Arizona rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.28 / $50.95 / $85.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.44 / $120.80 / $218.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.60 / $111.47 / $151.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $110.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $85.97 / $510.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.03 / $47.66 / $71.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.08 / $47.66 / $71.80