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Arizona rates for HCPCS 67108

Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,873.00 / $9,618.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.88 / $1,481.56 / $2,849.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.46 / $950.36 / $1,381.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.33 / $1,070.24 / $1,261.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.00 / $1,040.00 / $1,357.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.72 / $1,421.36 / $2,581.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.88 / $3,357.94 / $8,209.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$306.11 / $306.11 / $1,125.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.70 / $1,449.00 / $10,464.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.70 / $1,320.92 / $2,299.94