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Arizona rates for HCPCS 68371

Harvesting conjunctival allograft, living donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.55 / $488.38 / $2,185.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.23 / $372.81 / $400.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.25 / $416.19 / $887.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.93 / $1,300.00 / $5,034.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.56 / $408.24 / $3,071.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.00 / $3,365.00 / $5,307.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.35 / $408.24 / $772.33