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Arizona rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $6.80 / $16.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.60 / $8.51
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 / $0.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $10.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $0.38