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Arizona rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,659.59 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,412.54