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Arizona rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $2,640.00 / $6,060.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.52 / $69.70 / $113.57
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
$70.38 / $79.18 / $95.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $49.46 / $81.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.70 / $82.72 / $150.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.94 / $78.66 / $176.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.38 / $97.29 / $555.60
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
$69.14 / $86.03 / $162.01