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Virginia 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
$380.19 / $3,235.94 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $436.52 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $575.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $2,290.87 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $524.81 / $660.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $676.08 / $691.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $478.63 / $758.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $371.54 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $691.83