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Arizona rates for HCPCS 12041

Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $1,941.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.54 / $232.81 / $469.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.97 / $223.68 / $260.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.35 / $157.96 / $250.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.33 / $226.55 / $361.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.93 / $242.08 / $1,448.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.22 / $246.51 / $1,960.40
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
$198.00 / $239.71 / $348.27