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Arizona rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $8.91 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.79 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $19.95 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.13 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $16.60 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.13 / $20.42