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Arizona rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.28 / $126.96 / $376.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.82 / $99.25 / $148.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.05 / $196.05 / $196.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $123.97 / $237.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.55 / $151.85 / $1,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.96 / $165.19 / $1,206.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.57 / $142.12 / $295.89