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Vermont 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
Professional
Modifier
Low / Median / High Price
$295.98 / $473.11 / $1,551.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.95 / $518.86 / $793.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.66 / $490.27 / $793.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.29 / $626.60 / $1,899.34