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Arizona rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

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
$459.51 / $682.87 / $2,624.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.23 / $479.87 / $624.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.96 / $625.79 / $1,241.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.32 / $786.75 / $3,265.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.91 / $717.85 / $5,189.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.00 / $2,522.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.45 / $677.96 / $1,326.21