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Arizona rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.38 / $875.54 / $1,382.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.24 / $706.24 / $706.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,699.83 / $6,607.34 / $10,466.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.50 / $564.17 / $620.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $749.00 / $749.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.51 / $1,036.83 / $2,038.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.38 / $3,390.72 / $8,135.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,129.85 / $1,129.85 / $7,881.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.64 / $1,072.39 / $2,391.15
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
$832.59 / $1,011.85 / $1,734.61