go back

Arizona rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.50 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.50 / $664.78 / $2,753.15
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$4,329.68 / $4,329.68 / $4,329.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$272.70 / $323.39 / $1,443.23
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$378.29 / $485.09 / $2,164.85
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$75.66 / $96.24 / $432.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.09 / $435.63 / $615.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.90 / $4,623.72 / $7,610.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.11 / $490.87 / $578.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.00 / $995.00 / $1,422.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.85 / $652.65 / $1,373.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.75 / $2,052.00 / $5,034.00
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$281.10 / $281.10 / $1,305.69
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$983.84 / $983.84 / $4,569.92
Medica
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$210.82 / $210.82 / $979.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.14 / $679.80 / $6,076.05
Medica
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$552.78 / $552.78 / $552.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.00 / $3,365.00 / $5,307.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.14 / $637.55 / $1,062.59