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Montana rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Facilitymedian $1,096 · 10th–90th $933–$1,4450%20%10th90th$1,096$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $831.76 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,445.44 / $4,677.35