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Arizona rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,618.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.81 / $1,103.81 / $1,980.57
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
$1,048.45 / $1,397.93 / $1,625.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.88 / $1,171.32 / $2,144.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.81 / $1,365.54 / $7,920.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.28 / $1,177.08 / $8,754.48
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
$941.44 / $1,154.11 / $1,648.37