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Arizona rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.29 / $2,788.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,064.02 / $3,616.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.00 / $446.00 / $446.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.34 / $260.08 / $555.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.00 / $1,424.00 / $2,057.00