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Arizona rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $148.49 / $191.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.10 / $616.42 / $1,080.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.28 / $129.46 / $160.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.28 / $151.15 / $281.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.65 / $202.39 / $1,105.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $190.18 / $344.38