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Illinois rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.12 / $1,694.00 / $5,405.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.39 / $5,758.53 / $12,560.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $11,558.00 / $13,383.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.38 / $937.35 / $2,274.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $3,951.00 / $6,625.00