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Utah rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Facilitymedian $3,548 · 10th–90th $676$5,0120%10%10th90th$3,548Professionalmedian $851 · 10th–90th $646$1,6600%20%10th90th$851$500.0$1.0K$2.0K$5.0K$10.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $3,388.44 / $5,011.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $6,760.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $851.14 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,677.35 / $7,079.46