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Arizona rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.84 / $1,626.60 / $1,626.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $659.93 / $1,125.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.20 / $1,009.26 / $2,495.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.10 / $427.20 / $1,009.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.34 / $1,125.84 / $2,285.48