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Missouri 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
$350.06 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.02 / $362.93 / $550.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.00 / $318.92 / $483.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.00 / $831.00 / $1,135.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.72 / $453.32 / $1,105.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $687.63 / $3,532.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.95 / $588.96 / $3,380.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.42 / $544.30 / $919.51