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Arizona rates for HCPCS 21390

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.75 / $4,521.00 / $9,112.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.41 / $1,029.76 / $7,140.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00