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Oregon rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,990.34 / $5,649.00 / $15,341.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.00 / $604.00 / $604.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.98 / $1,887.92 / $2,097.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.22 / $1,433.13 / $2,546.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,682.70 / $1,804.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.61 / $2,097.44 / $4,681.00
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$335.59 / $335.59 / $335.59
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$99.92 / $285.25 / $285.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,698.81 / $7,379.02 / $8,723.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00