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Arizona rates for HCPCS 36522

Photopheresis Extracorporeal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $2,897.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.60 / $2,063.64 / $3,438.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,633.82 / $4,633.82 / $4,633.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.28 / $957.19 / $6,014.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00