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California rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.00 / $5,980.00 / $16,973.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.37 / $680.64 / $3,402.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $5,944.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.44 / $786.84 / $1,503.22
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,300.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.75 / $643.25 / $1,474.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.60 / $2,256.40 / $3,075.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.69 / $764.53 / $1,713.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.78 / $863.23 / $1,165.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.43 / $881.28 / $1,657.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,771.42 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.08 / $5,229.04 / $5,743.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.75 / $890.42 / $1,356.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.67 / $841.96 / $1,826.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.94 / $2,110.94 / $2,110.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.10 / $794.67 / $1,135.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,331.00 / $9,758.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.77 / $624.48 / $1,600.12