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Arizona rates for HCPCS A6507

Compression burn garment, foot to knee length, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $73.70 / $182.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.51 / $104.01 / $245.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $93.87 / $93.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.23 / $4.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $108.93