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Arizona rates for HCPCS 65114

Exntj Orbit Rmvl Orb Cnts W/Musc/Myoq Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.25 / $1,775.53 / $8,131.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $5,094.77 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.43 / $1,422.60 / $1,529.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.00 / $1,040.00 / $1,357.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.76 / $1,536.54 / $3,216.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.93 / $3,021.00 / $7,217.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.64 / $1,505.35 / $11,778.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.28 / $1,434.17 / $2,951.16