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Arizona rates for HCPCS 11403

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $2,290.87 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $204.17 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $109.65 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $331.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $204.17 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,513.56 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $162.18 / $245.47