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Removal Of Implanted Material From The Back Of The Eye

Wisconsin 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 $4,571 · 10th–90th $1,000$7,5860%10%10th90th$4,571Professionalmedian $1,479 · 10th–90th $776$2,3440%10%20%10th90th$1,479$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
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,454.71
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$3,311.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,122.02
Typical High
$8,128.31
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,230.27
Quartz
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,479.11
Typical High
$2,344.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,079.46
Typical High
$7,079.46
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,079.46
Typical High
$8,709.64