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Arizona rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.58 / $195.31 / $657.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.95 / $280.24 / $363.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.18 / $184.90 / $334.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.61 / $170.60 / $271.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $214.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $156.34 / $361.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.58 / $244.15 / $1,620.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.65 / $155.62 / $244.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $154.24 / $172.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.49 / $155.62 / $244.15