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Arizona rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.57 / $1,033.08 / $5,452.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,106.86 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.47 / $1,235.29 / $1,544.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.21 / $2,214.21 / $2,214.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.42 / $1,312.27 / $2,292.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.33 / $1,424.00 / $3,187.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.48 / $1,213.47 / $7,648.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $2,522.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.48 / $1,160.14 / $2,203.64