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Arizona rates for HCPCS 39501

Repair Laceration Diaphragm Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $20,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.43 / $1,062.70 / $4,276.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00