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Iowa rates for HCPCS 66991

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more

Facilitymedian $6,166 · 10th–90th $1,202–$11,7490%10%10th90th$6,166Professionalmedian $851 · 10th–90th $631–$1,8200%10%10th90th$851$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $6,165.95 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $812.83 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,584.89 / $1,995.26
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $7,244.36 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
Medica
Facility/Professional
Facility
Modifier
55
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,380.38 / $5,128.61
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,698.24 / $2,511.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,023.29 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $9,772.37 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,071.52 / $1,995.26
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,412.54 / $1,513.56