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Arizona rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.48 / $280.99 / $1,136.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.22 / $269.12 / $360.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.07 / $1,211.07 / $1,211.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.72 / $300.19 / $573.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.48 / $285.70 / $2,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.41 / $362.70 / $2,017.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.98 / $319.89 / $533.41