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Arizona rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $5,128.61 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $851.14 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,513.56