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Arizona rates for HCPCS 58662

Laps Fulg/Exc Ovary Viscera/Peritoneal Surface

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $5,807.00 / $9,429.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$4,805.00 / $4,805.00 / $4,805.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.57 / $3,532.98 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,269.46 / $5,269.46 / $5,269.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.79 / $951.71 / $9,437.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$180.63 / $1,537.78 / $1,537.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00