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West 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
$287.36 / $445.05 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.36 / $394.39 / $600.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.72 / $326.83 / $356.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.52 / $418.47 / $526.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.81 / $483.81 / $483.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.47 / $443.44 / $1,372.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.98 / $509.96 / $712.71