go back

Arizona rates for HCPCS L9900

Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS L code

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.93 / $121.93 / $121.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.13 / $88.72 / $91.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $59.82 / $108.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $55.20 / $75.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $35.29 / $35.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.13 / $68.13 / $101.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $96.53 / $96.53