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Arizona rates for HCPCS C1789

Prosthesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.61 / $7,667.52 / $9,060.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $3,306.43 / $4,972.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.60 / $1,970.98 / $3,563.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.20 / $545.60 / $743.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $402.32 / $3,637.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $402.32 / $402.32