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Pennsylvania 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
$1,024.89 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.25 / $924.85 / $1,278.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.15 / $928.93 / $1,468.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.74 / $886.71 / $1,450.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.80 / $1,091.80 / $1,407.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.12 / $1,034.03 / $4,607.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.80 / $779.80 / $779.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.78 / $928.93 / $1,447.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.80 / $896.29 / $896.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.80 / $896.29 / $958.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.78 / $952.16 / $1,656.07