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Missouri rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.23 / $784.40 / $1,080.94
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
$543.00 / $667.71 / $1,048.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.00 / $517.00 / $1,756.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.43 / $745.31 / $1,697.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.04 / $2,297.00 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.64 / $761.54 / $5,229.04
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
$514.63 / $724.40 / $1,269.24