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Arizona rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

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
$596.22 / $723.46 / $3,402.14
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
$526.49 / $628.64 / $675.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $607.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.97 / $684.57 / $1,268.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.51 / $1,485.92 / $7,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.98 / $605.69 / $5,229.04
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
$455.35 / $605.69 / $1,394.51