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Arizona rates for HCPCS 67145

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $467.74 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$645.65 / $1,862.09 / $3,630.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $218.78 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$354.81 / $354.81 / $354.81
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 / $218.78 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $426.58 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $467.74 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,513.56 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $676.08