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Washington rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.51 / $1,740.64 / $17,930.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.18 / $6,603.99 / $14,605.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.00 / $642.00 / $2,876.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.70 / $1,235.33 / $2,120.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.17 / $1,231.84 / $1,339.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.05 / $891.05 / $913.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,282.39 / $6,600.21 / $12,632.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,862.00 / $10,522.00