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New York rates for HCPCS 67027

Impltj Intravitreal Drug Dlvr Sys Rmvl Vts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.52 / $4,792.00 / $10,526.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $10,576.00 / $24,288.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.74 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.76 / $938.76 / $2,612.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $702.00 / $2,121.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $938.76 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,731.00 / $12,509.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.70 / $1,146.70 / $2,503.59