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Arizona rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.64 / $2,752.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $126.56 / $249.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $61.69 / $61.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.16 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.79 / $90.29 / $146.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $134.72 / $210.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.28 / $145.15 / $2,421.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.66 / $154.82 / $2,596.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,522.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.60 / $148.40 / $209.99