go back

Arizona rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,897.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $607.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.85 / $1,880.79 / $7,047.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$232.89 / $232.89 / $652.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.00 / $4,545.00 / $7,217.00