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Tennessee 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
$434.93 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.45 / $434.93 / $652.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $2,676.00 / $3,681.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.30 / $467.63 / $935.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.43 / $435.03 / $800.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,017.08 / $2,073.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.28 / $3,234.80 / $3,740.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.56 / $513.84 / $899.22