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Arizona rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,873.00 / $9,618.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $937.04 / $3,694.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $5,094.77 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.30 / $1,187.07 / $1,379.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.72 / $992.00 / $1,817.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.04 / $1,159.22 / $7,920.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.32 / $993.82 / $9,966.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $13,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.21 / $965.69 / $1,399.49