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Illinois rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.79 / $1,949.00 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,138.27 / $9,362.11 / $20,419.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $11,558.00 / $13,383.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.69 / $1,364.12 / $3,065.72
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $4,803.00 / $8,995.00