go back

Maryland rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.64 / $2,788.11 / $4,499.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $449.41 / $1,205.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.88 / $1,054.41 / $1,375.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00