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Arizona rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $3,477.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.66 / $441.93 / $840.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.94 / $443.94 / $443.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.98 / $492.48 / $656.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.88 / $489.50 / $818.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.36 / $489.57 / $3,311.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.13 / $542.85 / $3,679.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.70 / $488.95 / $941.90