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Arizona rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $660.98 / $5,868.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.38 / $63.84 / $200.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $44.31 / $104.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $727.08 / $1,398.61