go back

Louisiana rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $1,520.00 / $3,779.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,993.76 / $3,784.72 / $5,363.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $560.00 / $560.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00