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Arizona rates for HCPCS 67414

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $5,094.77 / $8,070.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.94 / $2,906.93 / $7,217.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.00 / $4,545.00 / $7,217.00