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Arizona rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.00 / $102.00 / $102.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.74 / $90.57 / $102.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $175.60 / $434.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.48 / $92.91 / $219.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.31 / $112.20 / $207.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $111.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $91.30