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Arizona rates for HCPCS 65125

Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.77 / $455.45 / $1,551.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.86 / $306.02 / $408.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $749.00 / $749.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.88 / $401.58 / $786.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.95 / $513.37 / $3,911.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.92 / $466.56 / $3,380.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.25 / $441.21 / $868.37