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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.01 / $351.58 / $554.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $899.00 / $899.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.35 / $358.60 / $517.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.75 / $441.03 / $1,029.13