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Utah rates for HCPCS 67027

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

Facilitymedian $6,026 · 10th–90th $3,162–$10,4710%10%10th90th$6,026Professionalmedian $1,259 · 10th–90th $776–$2,4550%20%10th90th$1,259$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$870.96 / $6,025.60 / $8,709.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $30,199.52 / $45,708.82
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,258.93 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $28,840.32