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Texas 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
$465.96 / $3,445.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.47 / $440.73 / $709.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.03 / $3,135.02 / $6,734.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.94 / $417.99 / $598.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.87 / $253.87 / $459.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.04 / $1,263.04 / $1,304.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $443.67 / $670.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $2,017.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.28 / $3,234.80 / $3,740.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.08 / $458.94 / $698.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.12 / $483.91 / $736.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.45 / $522.07 / $1,067.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.08 / $461.15 / $765.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.64 / $450.44 / $692.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,264.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.88 / $467.72 / $698.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.93 / $415.33 / $588.40