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Arizona rates for HCPCS 20696

App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.02 / $1,514.49 / $6,039.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00