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Arizona rates for HCPCS 59076

Fetal Shunt Placement W/Ultrasound Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.12 / $451.47 / $2,650.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,903.56 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.10 / $542.79 / $678.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.44 / $300.44 / $300.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.85 / $582.48 / $1,128.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.28 / $587.00 / $1,689.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.32 / $577.60 / $3,699.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.30 / $562.40 / $1,080.66