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Arizona rates for HCPCS 66175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $749.00 / $749.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.39 / $3,929.28 / $8,135.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.00 / $6,230.00 / $9,010.00