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Arizona rates for HCPCS 25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,663.00 / $8,104.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,810.73 / $5,814.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.80 / $968.92 / $9,251.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$192.60 / $192.60 / $2,558.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.00 / $7,341.00 / $11,396.00