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Oklahoma rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,576.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,629.96 / $12,153.92 / $19,405.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.68 / $1,266.68 / $1,266.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.07 / $2,495.00 / $7,214.89
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$652.85 / $652.85 / $652.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94