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Missouri rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.47 / $3,214.00 / $11,774.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $9,854.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.16 / $11,777.00 / $13,730.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.29 / $2,547.71 / $16,394.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$232.89 / $652.85 / $652.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,527.00 / $7,042.00