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Connecticut 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
$464.22 / $4,458.68 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.28 / $549.10 / $1,069.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,956.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.99 / $559.25 / $665.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.35 / $515.41 / $1,102.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.14 / $649.87 / $791.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.39 / $561.54 / $1,361.51