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Arizona rates for HCPCS 31755

Tracheoplasty; tracheopharyngeal fistulization, each stage

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
$1,672.97 / $1,901.84 / $9,175.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.29 / $1,420.39 / $1,775.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.52 / $5,374.52 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.89 / $1,981.05 / $3,773.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.31 / $2,295.33 / $7,920.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.45 / $1,922.70 / $12,841.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.52 / $1,851.03 / $3,339.18