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Arizona rates for HCPCS 80155

Drug Assay Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.14 / $77.14 / $153.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $27.89 / $248.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.58 / $84.87 / $141.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $32.50 / $46.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $62.68 / $112.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $47.08 / $58.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $183.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $13.50 / $23.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $16.20 / $23.14