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Arizona rates for HCPCS 20924

Tendon Graft From A Distance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.93 / $652.84 / $6,063.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$130.72 / $130.72 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00