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Arizona rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,890.45 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,778.28 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $309.03 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,162.28 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $446.68