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Arizona rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.26 / $805.03 / $4,570.64
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
$882.32 / $1,008.37 / $1,260.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.47 / $1,017.38 / $1,722.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.06 / $1,161.13 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.90 / $936.32 / $13,243.52
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
$729.40 / $863.80 / $1,664.23