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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
$1,122.02 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,445.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,413.10 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,584.89