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Arizona rates for HCPCS 21400

Clsd Tx Fx Orbit Except Blowout W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.00 / $2,912.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $177.47 / $339.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.84 / $258.77 / $296.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.77 / $203.58 / $359.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.44 / $220.61 / $1,203.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.40 / $219.26 / $1,625.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.03 / $198.72 / $381.08