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Arizona rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $48.98 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $102.33 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $45.71 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $56.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $60.26 / $436.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $47.86 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $41.69 / $63.10