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Arizona rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.58 / $212.86 / $268.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.35 / $107.08 / $525.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.59 / $303.70 / $478.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.32 / $109.76 / $531.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.64 / $360.68 / $1,472.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.98 / $124.64 / $169.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.53 / $140.38 / $1,653.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $98.24 / $745.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $92.65 / $172.29