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Arizona rates for HCPCS 45800

Closure Rectovesical Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.71 / $1,236.01 / $2,269.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.00 / $1,482.29 / $1,723.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.96 / $1,418.80 / $2,740.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.76 / $1,425.29 / $2,870.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.96 / $1,400.19 / $9,181.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.04 / $1,330.20 / $2,431.67