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Arizona rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $6.61 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.96 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29