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Arizona rates for HCPCS 67399

Unlisted procedure, extraocular muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.00 / $4,474.00 / $4,474.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.69 / $213.36 / $251.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,221.00 / $2,057.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,535.00 / $2,175.00