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Arizona rates for HCPCS 22102

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.34 / $994.88 / $9,249.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.76 / $194.76 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.00 / $7,341.00 / $11,396.00