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Arizona rates for HCPCS 21255

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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
$1,152.65 / $1,300.19 / $7,311.69
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
$1,382.78 / $1,580.32 / $1,975.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.84 / $1,630.44 / $2,704.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.02 / $1,726.90 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.56 / $1,493.01 / $10,981.50
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
$1,197.11 / $1,414.44 / $2,668.01