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Arizona rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.55 / $2,111.85 / $3,734.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,219.27 / $8,626.45 / $13,665.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.58 / $1,273.25 / $1,852.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.48 / $1,828.68 / $3,340.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.91 / $2,384.59 / $7,207.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.71 / $2,454.67 / $7,841.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.00 / $6,230.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.85 / $2,351.66 / $4,580.22