go back

Minnesota 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
$1,047.13 / $1,047.13 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,912.51 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,089.30 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,630.78 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,754.23 / $4,466.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,467.37 / $6,760.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,737.80 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,456.54 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $3,311.31