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Arizona rates for HCPCS L3254

Nonstandard size or width

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $17.82 / $28.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $25.14 / $45.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $23.20 / $31.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $10.75 / $10.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $10.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $15.30 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $48.20