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Arizona rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $2,260.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $153.50 / $311.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.92 / $111.93 / $162.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.91 / $159.40 / $315.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.46 / $203.06 / $3,093.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.19 / $180.36 / $2,809.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.00 / $2,522.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.50 / $172.20 / $340.21