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Arizona rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.25 / $3,437.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.54 / $809.37 / $1,411.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.68 / $765.68 / $765.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.85 / $682.69 / $836.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.84 / $826.35 / $1,471.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.42 / $872.99 / $3,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.56 / $886.69 / $6,464.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.11 / $837.42 / $1,101.75