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Arizona rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.33 / $2,897.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.23 / $785.35 / $3,915.13
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
$891.01 / $1,117.14 / $1,270.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.13 / $867.69 / $1,515.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.40 / $934.01 / $2,086.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.09 / $908.53 / $7,097.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.05 / $806.72 / $1,664.97