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Indiana rates for HCPCS 65150

Reinsertion Ocular Implt W/Wo Conjunctival Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.61 / $1,941.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.61 / $695.00 / $891.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $5,570.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.56 / $695.10 / $936.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.01 / $836.73 / $1,265.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.01 / $750.01 / $1,125.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $565.00 / $2,126.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.71 / $719.33 / $1,162.46
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
$501.53 / $672.91 / $1,126.96