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Missouri rates for HCPCS 65135

Insertion of ocular implant secondary; after enucleation, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.75 / $964.15 / $1,329.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.00 / $809.82 / $1,321.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.00 / $517.00 / $1,756.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.20 / $948.68 / $1,945.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.27 / $2,398.84 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.66 / $962.10 / $6,446.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,700.00 / $11,925.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.20 / $956.81 / $1,534.56