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Pennsylvania rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.71 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.86 / $3,143.86 / $36,993.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,389.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.08 / $531.29 / $835.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00