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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
$263.03 / $354.81 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $436.52 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $478.63 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $467.74 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $457.09