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Arizona rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $7.76 / $16.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.88 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $34.67 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $123.03