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Arizona rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.64 / $13.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.58 / $25.00 / $61.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $13.23 / $31.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $15.54 / $26.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $28.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00