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West Virginia rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $758.58 / $1,202.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $831.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,000.00