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Arizona rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $2,633.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.04 / $302.10 / $523.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.05 / $226.31 / $362.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.77 / $300.58 / $524.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.50 / $348.65 / $1,540.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.27 / $364.48 / $2,838.24
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
$281.48 / $353.76 / $533.48