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Arizona rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $10.30 / $18.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.20 / $18.79 / $33.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $17.34 / $23.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $24.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $13.82 / $96.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $9.19 / $13.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $9.11 / $10.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.19 / $13.87