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Arizona rates for HCPCS 84255

Assay Of Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.57 / $51.82 / $124.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $22.23 / $29.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $17.73 / $19.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $56.07 / $93.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.51 / $30.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $41.48 / $74.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $30.98 / $38.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $22.24 / $169.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.98 / $23.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.98 / $22.98 / $32.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.98 / $20.42