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Arizona rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

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
$593.04 / $759.89 / $3,340.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.23 / $569.34 / $707.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $453.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.67 / $700.71 / $1,477.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.16 / $1,016.03 / $4,216.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.48 / $746.28 / $5,516.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.08 / $697.47 / $1,404.22