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Arizona rates for HCPCS 65135

Insertion of ocular implant secondary; after enucleation, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.55 / $889.10 / $4,265.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.85 / $775.94 / $834.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $607.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.44 / $841.48 / $1,622.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.37 / $1,637.25 / $7,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.44 / $769.30 / $6,446.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.32 / $747.78 / $1,538.74