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Arizona rates for HCPCS 15200

Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,745.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.00 / $750.33 / $1,258.66
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
$486.69 / $646.60 / $804.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.36 / $764.00 / $1,392.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.73 / $800.87 / $3,751.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.44 / $828.25 / $6,214.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.36 / $803.89 / $1,158.84