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Indiana rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.75 / $2,318.00 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,240.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.26 / $1,091.43 / $1,650.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $1,000.43 / $2,300.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$99.92 / $99.92 / $99.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,818.00 / $11,038.00