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Arizona rates for HCPCS L3255

Non-Standard Size Or Length (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $24.00 / $24.91
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
$23.72 / $23.72 / $23.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $21.17 / $35.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $23.50 / $65.97