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Oregon rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,621.81 / $1,862.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $2,951.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,737.80 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$147.91 / $147.91 / $147.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,413.10 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $11,748.98 / $26,302.68