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Arizona rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

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
$1,566.79 / $1,739.29 / $2,602.12
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
$1,761.86 / $2,013.55 / $2,340.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.69 / $1,971.40 / $3,728.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.24 / $1,943.00 / $3,945.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.71 / $1,957.05 / $12,510.56
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
$1,478.71 / $1,830.46 / $3,356.66