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Arizona rates for HCPCS 67229

Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity), photocoagulation or cryotherapy

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
$956.70 / $1,196.18 / $6,142.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.94 / $1,041.13 / $1,145.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.16 / $1,169.40 / $2,508.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.00 / $1,438.00 / $3,051.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.84 / $1,106.86 / $8,606.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.00 / $1,525.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.20 / $1,087.34 / $2,172.19