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California rates for HCPCS 67560

Orbital implant (implant outside muscle cone); removal or revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.00 / $6,314.00 / $17,013.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $5,977.00 / $13,012.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,300.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.60 / $2,256.40 / $3,075.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.23 / $1,337.46 / $1,805.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.83 / $1,383.35 / $2,608.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,975.10 / $11,500.00 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.00 / $1,341.17 / $1,939.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,331.00 / $9,758.00 / $21,278.00