go back

Minnesota 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
$314.35 / $497.83 / $497.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.35 / $497.83 / $977.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.70 / $3,984.24 / $8,304.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.75 / $814.08 / $1,516.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.47 / $1,635.18 / $3,933.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.50 / $1,016.88 / $1,939.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.35 / $1,494.95 / $3,097.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.47 / $980.67 / $1,822.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.11 / $619.96 / $1,396.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.14 / $865.28 / $2,197.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.49 / $798.86 / $1,707.18