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Arkansas rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.15 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $550.91 / $842.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.23 / $2,196.23 / $2,635.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.79 / $846.78 / $940.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,032.78 / $4,032.78 / $4,032.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.11 / $743.31 / $1,043.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.55 / $634.73 / $1,080.44