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Iowa 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
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.12 / $510.61 / $794.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.56 / $853.11 / $1,220.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.94 / $448.05 / $820.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.23 / $1,054.39 / $6,226.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.01 / $842.36 / $2,197.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.57 / $1,054.39 / $1,908.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.00 / $849.81 / $1,220.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.84 / $689.34 / $1,293.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.79 / $652.70 / $993.90