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Maryland rates for HCPCS 65150

Reinsertion Ocular Implt W/Wo Conjunctival Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.65 / $855.66 / $921.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.03 / $708.92 / $770.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $449.41 / $1,575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.71 / $672.87 / $1,225.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.73 / $818.49 / $1,067.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.59 / $602.78 / $1,121.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.17 / $744.83 / $818.49