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New York rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,715.35 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,000.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,698.24 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$147.91 / $147.91 / $147.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $2,884.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $4,897.79 / $11,220.18
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,230.27 / $2,570.40