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Arizona rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $111.88 / $191.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.84 / $201.72 / $364.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.59 / $186.12 / $253.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $109.58 / $328.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.50 / $148.22 / $1,107.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.80 / $106.10 / $159.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $106.10 / $159.83