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Tennessee rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.23 / $2,311.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,710.74 / $7,152.74 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$232.89 / $652.85 / $652.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00