go back

Maine 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
$448.98 / $464.22 / $731.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.33 / $375.69 / $551.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.71 / $1,144.71 / $1,144.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.61 / $631.29 / $932.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.74 / $552.35 / $859.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.18 / $448.98 / $707.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.26 / $625.33 / $808.61