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Arizona rates for HCPCS 61650

Evasc Intracranial Prolng Admn Rx Agent Art 1st

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,521.00 / $14,854.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.75 / $779.64 / $4,349.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00