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Arizona rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.48 / $1,496.47 / $8,500.20
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
$1,637.66 / $1,871.62 / $2,339.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.79 / $1,905.88 / $3,132.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.73 / $2,031.96 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.84 / $1,745.34 / $12,979.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.23 / $1,630.29 / $3,039.67