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Arizona rates for HCPCS 67141

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,715.35 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $457.09 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,778.28 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $478.63 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $1,047.13 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $676.08