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Arizona rates for HCPCS 67015

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $618.49 / $998.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.37 / $3,503.66 / $5,550.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.71 / $544.13 / $584.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $453.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.52 / $613.70 / $1,253.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.48 / $1,300.00 / $5,107.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.92 / $586.07 / $4,503.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.68 / $2,971.00 / $5,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.88 / $572.13 / $1,142.68