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Oregon rates for HCPCS 67120

Rmvl Implnt Matl Posterior Segment Extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.83 / $4,962.67 / $15,341.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.00 / $604.00 / $604.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.38 / $1,273.63 / $1,554.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.61 / $1,052.98 / $1,585.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.60 / $1,215.68 / $1,339.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.70 / $1,204.88 / $3,065.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,698.81 / $7,379.02 / $8,723.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $9,074.00 / $12,786.00