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Arizona rates for HCPCS 37788

Penile revascularization, artery, with or without vein graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.79 / $1,389.12 / $6,646.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.97 / $1,257.29 / $1,571.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.58 / $1,439.32 / $2,191.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.98 / $1,778.00 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.72 / $1,430.60 / $10,193.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.34 / $1,397.33 / $2,242.80