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Arizona rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,398.83 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $75.86 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,096.48 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $48.98 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $83.18 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $81.28 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $109.65 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $74.13 / $128.82