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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
$42.66 / $53.70 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $77.62 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $61.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $85.11 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $47.86 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $63.10 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $47.86 / $72.44