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Arizona rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,521.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,903.56 / $8,070.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.10 / $4,100.10 / $4,100.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.49 / $694.30 / $6,117.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$135.53 / $1,196.53 / $1,196.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00