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Indiana rates for HCPCS 65140

Insertion of ocular implant secondary; after enucleation, muscles attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.72 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.72 / $919.79 / $1,178.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.20 / $786.50 / $1,059.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.31 / $1,112.91 / $1,683.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.31 / $1,039.14 / $1,496.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $646.00 / $2,126.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.49 / $937.55 / $1,546.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,818.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.85 / $946.50 / $1,790.16