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Arizona rates for HCPCS E1399

Durable medical equipment, miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $44.80 / $125.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $11.77 / $29.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $129.60 / $306.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $25.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $214.45 / $214.45