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Arizona rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,023.29 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $263.03 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $295.12 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $416.87