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California rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.19 / $5,505.00 / $16,210.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $5,863.00 / $11,400.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,720.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.60 / $1,726.46 / $2,353.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.82 / $794.59 / $1,100.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.66 / $748.32 / $1,327.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,772.50 / $3,891.72 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.78 / $827.70 / $1,131.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $15,471.00