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Arizona rates for HCPCS 67027

Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $775.00 / $858.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.26 / $2,791.10 / $8,209.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $6,230.00 / $9,010.00