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Arizona rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.16 / $740.42 / $1,185.44
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
$469.97 / $624.39 / $752.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.85 / $739.79 / $1,349.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.97 / $800.97 / $3,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.28 / $805.39 / $5,828.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.64 / $773.50 / $1,014.51