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Maine rates for HCPCS 65125

Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)

Facilitymedian $1,148 · 10th–90th $1,148–$4,8980%20%40%90th$1,148Professionalmedian $468 · 10th–90th $295–$7410%10%10th90th$468$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $457.09 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $416.87 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $575.44 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $549.54 / $870.96
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $501.19 / $776.25