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Arizona rates for HCPCS 76815

Us Pregnant Uterus Limited 1/> Fetuses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.31 / $59.72 / $115.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.59 / $134.43 / $427.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.64 / $46.97 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.52 / $62.21 / $251.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.49 / $61.35 / $95.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.98 / $39.90 / $49.04
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.45 / $35.45 / $69.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $71.98 / $102.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.32 / $24.44 / $33.61
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.70 / $44.94 / $56.17
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.11 / $35.11 / $35.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.05 / $102.97 / $160.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.36 / $36.69 / $61.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.13 / $64.81 / $101.89
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$139.28 / $139.28 / $139.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $96.22 / $524.64
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.96 / $33.77 / $195.35
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.50 / $61.95 / $329.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $90.53 / $150.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.96 / $33.20 / $54.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.50 / $58.07 / $94.14