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Arizona rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,094.00 / $7,562.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.07 / $879.74 / $4,840.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.24 / $1,089.42 / $1,361.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.93 / $1,069.73 / $1,820.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.66 / $1,168.51 / $7,140.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.55 / $983.09 / $8,385.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.30 / $921.97 / $1,798.15