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Arizona rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.65 / $1,091.30 / $1,666.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.54 / $4,402.27 / $7,252.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.07 / $1,483.51 / $1,854.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.07 / $3,244.61 / $4,569.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.58 / $324.73 / $536.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.58 / $521.89 / $2,620.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.01 / $1,544.24 / $2,468.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.48 / $1,147.25 / $2,400.94