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Arkansas rates for HCPCS 67042

Vitrectomy Pars Plana Remove Int Memb Retina

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $1,858.23 / $5,408.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.18 / $1,294.27 / $1,858.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.34 / $1,674.59 / $1,879.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,063.64 / $4,063.64 / $4,876.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.43 / $1,600.71 / $1,778.57
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
$839.95 / $1,837.12 / $2,083.46
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.24 / $1,862.24 / $2,161.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,709.00 / $11,405.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.59 / $1,400.70 / $2,139.78