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Arizona rates for HCPCS 12011

Simple Repair F/E/E/N/L/M 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.84 / $1,553.00 / $4,474.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.25 / $107.81 / $421.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.17 / $47.85 / $47.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.43 / $250.56 / $453.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.36 / $63.30 / $107.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $109.88 / $168.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $116.96 / $1,424.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.88 / $131.25 / $918.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $113.68 / $176.25