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Arizona rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $7,562.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.11 / $123.80 / $156.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $314.52 / $518.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.99 / $126.85 / $158.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $147.13 / $147.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $173.53 / $304.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.12 / $171.28 / $1,300.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.75 / $165.60 / $1,870.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.35 / $152.07 / $297.43