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California 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
$407.73 / $7,000.00 / $18,293.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.18 / $376.54 / $1,685.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.00 / $4,617.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.89 / $401.56 / $926.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,010.49
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.61 / $468.92 / $893.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.88 / $1,458.73 / $1,988.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.38 / $468.17 / $889.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.35 / $433.24 / $772.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.14 / $471.57 / $886.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,017.08 / $2,073.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.28 / $3,234.80 / $3,740.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.14 / $466.70 / $760.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.85 / $507.88 / $993.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.68 / $962.68 / $1,527.69
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.97 / $428.47 / $593.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,190.00 / $7,352.00 / $14,743.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.48 / $458.82 / $1,126.94