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Arizona rates for HCPCS 44604

Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.29 / $1,197.89 / $2,401.67
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$259.83 / $479.42 / $479.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00