go back

Pennsylvania rates for HCPCS 67560

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,714.49 / $34,714.49 / $64,134.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,120.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.05 / $1,069.48 / $1,069.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00