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Arizona rates for HCPCS 67105

Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $562.94 / $1,144.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.95 / $248.30 / $287.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.07 / $518.34 / $772.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.93 / $640.53 / $2,674.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.60 / $618.79 / $4,446.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.60 / $570.40 / $729.80