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Arizona rates for HCPCS A4652

Microcapillary tube sealant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $10.88 / $10.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.00 / $9.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.12 / $2.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77