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Arizona rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.73 / $591.17 / $2,641.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.92 / $451.25 / $485.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $607.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.74 / $509.64 / $1,072.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.23 / $1,300.00 / $5,107.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.86 / $483.42 / $3,718.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.45 / $479.40 / $938.07