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California rates for HCPCS 67027

Impltj Intravitreal Drug Dlvr Sys Rmvl Vts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,494.00 / $18,252.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $9,256.00 / $18,812.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,378.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.31 / $2,675.76 / $3,647.22
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.23 / $998.25 / $1,347.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.98 / $1,046.33 / $1,974.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,352.13 / $11,500.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.22 / $1,165.58 / $1,697.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,416.00 / $12,267.00 / $26,109.00