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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
$91.20 / $213.80 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $100.00 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $234.42 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $323.59 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $141.25 / $223.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $158.49