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Arizona rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.10 / $757.10 / $757.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.71 / $60.49 / $275.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $127.33 / $230.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.13 / $117.50 / $158.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $68.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $135.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.44 / $89.72 / $535.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.37 / $50.24 / $75.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $50.24 / $75.68