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Indiana rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.03 / $2,333.64 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.03 / $957.87 / $1,225.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.38 / $919.20 / $1,238.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.63 / $1,158.85 / $1,752.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.63 / $1,082.04 / $1,558.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $646.00 / $2,126.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.82 / $980.25 / $1,611.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,830.00 / $11,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.62 / $970.08 / $1,598.33