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Texas rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $2,783.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.33 / $3,275.41 / $6,854.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.13 / $748.13 / $781.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.86 / $1,494.86 / $1,543.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,152.74 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$207.29 / $652.85 / $652.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.97 / $1,052.83 / $1,570.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.42 / $1,078.03 / $1,679.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00