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Arizona rates for HCPCS G0294

Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $2,260.00 / $4,474.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.29 / $135.75 / $223.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.55 / $31.40 / $39.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00