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Arizona rates for HCPCS 15005

Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.75 / $2,276.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.10 / $1,143.18 / $1,810.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.12 / $121.39 / $1,448.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.57 / $40.57 / $40.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,326.00