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Arizona rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.98 / $884.88 / $4,746.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.64 / $1,034.19 / $1,292.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.96 / $1,074.55 / $1,929.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.02 / $1,183.03 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.13 / $1,019.24 / $6,731.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.00 / $966.34 / $1,741.21