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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
$141.71 / $141.71 / $141.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $33.33 / $411.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $12.14 / $21.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $11.20 / $15.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.18 / $34.49 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $122.28