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Minnesota rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.80 / $956.80 / $3,638.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.61 / $5,197.49 / $9,424.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,227.48 / $3,160.48 / $7,602.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.72 / $2,889.43 / $5,986.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.93 / $1,665.55 / $5,908.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00