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Louisiana rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,520.00 / $3,728.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,371.65 / $4,502.24 / $8,124.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00