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Arizona rates for HCPCS A6503

Compression burn garment, facial hood, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.33 / $50.39 / $124.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $21.33 / $50.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $55.00 / $105.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $139.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $40.00 / $60.00