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Maryland 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
Professional
Modifier
Low / Median / High Price
$279.52 / $394.39 / $600.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.16 / $309.55 / $325.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $722.49 / $1,018.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.35 / $409.51 / $733.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.83 / $527.53 / $694.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.98 / $441.03 / $807.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.27 / $358.87 / $532.42