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Arizona rates for HCPCS 45905

Dilation of anal sphincter (separate procedure) under anesthesia other than local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,090.30 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,096.48 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $645.65 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $204.17 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $4,677.35