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Arizona rates for HCPCS 67040

Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $5,370.32 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,318.26 / $2,570.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,073.80 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,884.03 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$269.15 / $269.15 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,623.41 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,995.26