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Arizona rates for HCPCS 15100

Split Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $2,434.00 / $6,060.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.65 / $785.28 / $1,380.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,205.35 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.04 / $686.94 / $830.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.91 / $821.96 / $1,457.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.12 / $890.39 / $3,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.50 / $869.41 / $6,396.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.72 / $2,482.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.36 / $844.56 / $1,276.29