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Arizona rates for HCPCS L3255

Nonstandard size or length

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $16.22 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $25.12 / $35.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $52.48