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Louisiana 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
$402.74 / $2,060.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.12 / $478.26 / $733.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.30 / $3,728.94 / $5,325.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.99 / $510.79 / $640.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.00 / $965.00 / $965.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $415.33 / $695.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.79 / $488.92 / $835.71