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Arizona rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.05 / $673.02 / $3,818.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.79 / $880.90 / $1,101.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.91 / $880.83 / $1,428.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.00 / $940.96 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.98 / $784.75 / $5,633.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,358.00 / $6,506.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.80 / $719.99 / $1,386.92