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Arizona rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.19 / $1,399.97 / $6,597.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.79 / $1,140.05 / $1,225.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $775.00 / $775.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.47 / $1,291.55 / $2,553.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.06 / $2,588.94 / $7,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.68 / $1,213.11 / $9,483.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.64 / $1,189.88 / $2,422.87