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Arizona rates for HCPCS 49421

Insertion of tunneled intraperitoneal catheter for dialysis, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,890.45 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $707.95 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,737.80 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $302.00 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,456.54 / $12,882.50