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Arizona rates for HCPCS 21089

Unlisted Maxillofacial Prosthetic Procedure

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.10 / $394.40 / $493.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,423.00 / $2,057.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.16 / $2,117.16 / $2,117.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00