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Arizona rates for HCPCS L8031

Breast Prosthes, Silicone Or Equal, With Integral Adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.06 / $206.27 / $294.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.34 / $434.74 / $786.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.85 / $401.14 / $546.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $489.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.90 / $277.33 / $1,976.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.66 / $188.91 / $314.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.74 / $188.91 / $284.57