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Oklahoma 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
$492.07 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.17 / $482.45 / $492.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.25 / $1,070.25 / $1,070.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.72 / $412.46 / $685.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.17 / $615.49 / $5,543.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.18 / $462.26 / $2,197.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,875.93 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.18 / $458.37 / $584.65