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Arizona rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $70.79 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.39 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.78 / $17.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $45.71 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.38 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $25.12 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $30.90 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $22.39 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.14 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $25.70 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.14 / $20.89