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Arizona rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.77 / $1,610.74 / $8,574.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.37 / $1,760.42 / $2,200.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.86 / $1,974.11 / $3,145.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,964.41 / $4,337.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.09 / $1,807.21 / $12,163.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $3,269.00 / $5,491.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.78 / $1,719.05 / $3,455.90