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Arizona rates for HCPCS 67975

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.07 / $707.07 / $1,105.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.55 / $615.59 / $661.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $697.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.12 / $698.89 / $1,472.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.79 / $1,484.73 / $5,107.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.32 / $678.30 / $5,060.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.10 / $664.45 / $1,163.03