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Arizona rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,758.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.94 / $831.54 / $1,324.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.78 / $694.55 / $825.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.01 / $830.25 / $1,487.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.93 / $894.38 / $3,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.88 / $914.41 / $6,576.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.00 / $2,399.00 / $4,850.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.41 / $864.28 / $1,187.68