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Arizona rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.93 / $242.86 / $364.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.36 / $98.36 / $100.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.08 / $361.05 / $572.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $97.14 / $643.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.41 / $115.36 / $140.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $101.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $101.19