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Arizona rates for HCPCS A6502

Compression burn garment, chin strap, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.72 / $96.20 / $237.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.27 / $135.72 / $320.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $111.37 / $111.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $106.00 / $203.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00