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Arizona rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

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
$1,763.75 / $6,640.00 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.29 / $3,491.00 / $7,168.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$4,307.78 / $4,307.78 / $7,694.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,759.00 / $6,477.00 / $9,010.00