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Arizona rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.84 / $940.66 / $2,291.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.80 / $3,318.56 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.36 / $1,088.41 / $1,265.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $3,280.17 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.38 / $1,054.79 / $2,006.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.53 / $1,062.54 / $6,022.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.13 / $1,035.86 / $9,862.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.00 / $6,230.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.87 / $955.50 / $1,777.03