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New York 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
$360.49 / $2,842.00 / $10,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.39 / $440.70 / $865.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.24 / $451.70 / $1,057.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.22 / $409.22 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.22 / $409.22 / $658.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.81 / $483.81 / $1,424.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.50 / $460.20 / $1,034.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $328.52 / $749.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.60 / $601.72 / $948.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.98 / $430.53 / $956.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.81 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.50 / $552.54 / $1,146.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $4,370.00 / $9,187.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.95 / $519.58 / $1,122.66
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.92 / $399.92 / $885.21
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.98 / $616.29 / $1,124.68