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Arizona rates for HCPCS 66184

Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.37 / $3,503.66 / $5,550.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.94 / $2,774.00 / $5,034.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $3,339.00 / $5,307.00