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Arizona rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.10 / $325.44 / $575.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.66 / $706.81 / $1,277.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.14 / $652.17 / $888.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $669.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.02 / $502.93 / $2,938.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.78 / $278.85 / $420.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $276.36 / $364.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.34 / $278.85 / $420.05