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Arizona rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.82 / $1,040.00 / $2,074.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.40 / $390.00 / $3,343.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.78 / $3,284.18 / $5,202.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.34 / $365.58 / $1,770.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.02 / $811.20 / $1,453.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.74 / $390.60 / $519.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.40 / $520.00 / $939.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $218.40 / $2,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $218.40 / $312.00