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Montana rates for HCPCS 65125

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

Facilitymedian $603 · 10th–90th $490–$8320%20%10th90th$603Professionalmedian $513 · 10th–90th $316–$1,1220%10%10th90th$513$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $501.19 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $457.09 / $707.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $758.58 / $831.76
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $758.58 / $831.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $501.19 / $891.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $436.52 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,445.44 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $851.14