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Texas rates for HCPCS 67027

Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.00 / $3,682.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,983.20 / $19,314.18 / $36,799.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.02 / $7,344.75 / $7,344.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.81 / $2,316.81 / $2,392.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,674.70 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.73 / $1,031.89 / $1,692.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.73 / $1,047.58 / $1,944.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,931.00 / $13,134.00