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Arizona rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $16 · 10th–90th $6–$420%5%10%10th90th$16Professionalmedian $10 · 10th–90th $8–$180%20%10th90th$10$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $21.38 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $13.80 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.12 / $13.80