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Arizona rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.00 / $2,640.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.89 / $204.46 / $284.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $110.30 / $110.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.61 / $439.67 / $723.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $131.06 / $196.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.57 / $198.57 / $198.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.04 / $250.05 / $464.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.58 / $237.83 / $585.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.54 / $329.23 / $1,874.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,711.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.30 / $261.72 / $524.74