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Arizona rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.69 / $2,359.00 / $5,506.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$519.00 / $627.00 / $8,055.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.64 / $585.60 / $3,978.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00