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Arizona rates for HCPCS 67107

Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,670.74 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $749.00 / $979.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.01 / $2,847.34 / $8,209.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $6,455.00 / $9,010.00