go back

Arizona rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $2,359.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.40 / $418.57 / $689.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $120.82 / $120.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $140.97 / $1,300.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$48.29 / $48.29 / $48.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00