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Vermont rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,230.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $2,630.27