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Pennsylvania 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
$954.86 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.59 / $859.89 / $1,190.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.67 / $863.05 / $1,366.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.12 / $823.82 / $1,349.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.39 / $1,015.39 / $1,309.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.14 / $954.86 / $4,265.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.20 / $724.20 / $724.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.83 / $863.05 / $1,349.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.14 / $834.32 / $834.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.14 / $834.32 / $892.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $5,509.00 / $12,137.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.54 / $864.97 / $1,532.75