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Arizona rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $14.12 / $24.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $25.81 / $46.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $23.82 / $32.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $33.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $18.97 / $131.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $12.61 / $19.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $12.61 / $19.00