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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
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.23 / $439.33 / $798.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.60 / $202.60 / $215.26
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
$182.41 / $203.69 / $244.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $607.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.64 / $461.38 / $1,066.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.11 / $468.16 / $1,924.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.12 / $519.75 / $2,991.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.95 / $508.01 / $982.78