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Arizona rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.79 / $160.84 / $293.66
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$799.01 / $799.01 / $799.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.72 / $158.16 / $177.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.58 / $102.82 / $159.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.44 / $152.87 / $229.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.19 / $173.99 / $1,424.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.88 / $161.68 / $1,248.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.43 / $155.03 / $230.01