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Nationwide rates for HCPCS 66989

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more

Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,623.41 / $13,182.57	Facility		$1,288.25	$5,623.41	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,659.59	Professional		$794.33	$1,000.00	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $10,471.29 / $20,417.38	Facility		$3,388.44	$10,471.29	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $2,041.74	Professional		$676.08	$933.25	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,754.23 / $7,079.46	Facility		$549.54	$2,754.23	$7,079.46
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	54	$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,884.03	Professional		$776.25	$1,288.25	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,079.46 / $15,848.93	Facility		$2,238.72	$7,079.46	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,862.09	Professional		$741.31	$1,023.29	$1,862.09

Nationwide rates for HCPCS 66989

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