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Arizona rates for HCPCS 65175

Removal of ocular implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $453.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.00 / $1,523.00 / $7,047.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.00 / $4,545.00 / $7,217.00