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Arizona rates for HCPCS 51960

Enterocystoplasty, including intestinal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.81 / $1,410.72 / $7,283.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.33 / $1,137.77 / $1,422.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.68 / $1,672.32 / $3,040.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.95 / $1,762.00 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.24 / $1,614.14 / $12,420.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.15 / $1,480.00 / $2,671.30