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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.99 / $1,035.58 / $1,428.32
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
$684.00 / $879.82 / $1,429.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $1,756.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.95 / $1,016.95 / $2,016.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.09 / $2,576.31 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.49 / $1,041.21 / $6,926.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.49 / $1,034.58 / $1,755.74