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Arizona rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $104.62 / $195.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.10 / $1,143.18 / $1,810.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $71.63 / $121.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.64 / $109.32 / $176.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.79 / $120.30 / $1,448.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.95 / $138.72 / $1,510.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.94 / $131.24 / $174.31