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Arizona rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $5.13 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.13 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.37 / $0.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.38