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Arizona rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.00 / $2,351.25 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.60 / $3,126.40 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.52 / $554.76 / $1,487.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $2,017.00 / $3,268.00