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Arizona rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.26 / $150.68 / $227.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.70 / $286.45 / $453.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.50 / $124.66 / $144.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.38 / $226.76 / $326.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.72 / $268.52 / $1,977.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.88 / $195.84 / $2,380.89
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
$137.43 / $162.86 / $296.49