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Arizona rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,771.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.71 / $124.14 / $171.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $60.00 / $69.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.95 / $739.14 / $1,211.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.57 / $142.44 / $275.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.80 / $142.77 / $2,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.42 / $136.44 / $898.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.06 / $129.87 / $242.90