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Arizona rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.16 / $324.58 / $472.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.98 / $540.98 / $540.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.37 / $684.09 / $1,236.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.67 / $631.23 / $812.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $802.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $481.95 / $3,120.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.44 / $302.54 / $466.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.44 / $302.54 / $455.74