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Arizona rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.26 / $2,141.51 / $4,384.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.58 / $2,605.23 / $3,256.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.12 / $2,594.27 / $4,259.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.17 / $2,835.65 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.46 / $2,405.16 / $19,652.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,358.00 / $6,506.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.69 / $2,261.44 / $4,358.55