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Arizona rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.50 / $3,745.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.24 / $310.42 / $466.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.56 / $278.08 / $347.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.64 / $364.00 / $657.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.39 / $399.38 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.26 / $352.01 / $2,227.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.89 / $329.76 / $579.67