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Removal Of Implanted Material From The Back Of The Eye

Washington rates for HCPCS 67120

Takes out material that was placed at the back of the eye during a previous operation, once it is no longer needed or has started to cause problems such as irritation, infection, discomfort or shifting out of position.

Rates data updated July 2026.

Facilitymedian $1,479 · 10th–90th $794$9,5500%10%10th90th$1,479$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$14,454.40
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,244.36
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$2,884.03
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,288.25
Typical High
$2,290.87
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$1,348.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$912.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,918.31
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$6,606.93
Typical High
$12,882.50