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Arizona rates for HCPCS 40844

Vestibuloplasty; entire arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.14 / $1,393.71 / $6,225.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.64 / $1,560.56 / $1,989.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.52 / $5,374.52 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.06 / $1,516.44 / $2,715.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.15 / $1,580.50 / $6,670.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.42 / $1,839.31 / $11,116.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.33 / $1,491.49 / $2,893.50