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Arizona rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.59 / $1,192.82 / $1,437.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.02 / $406.02 / $446.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.49 / $1,133.49 / $1,353.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.13 / $1,384.77 / $1,695.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.37 / $771.56 / $10,207.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.37 / $771.56 / $1,106.90