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Missouri 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
$1,412.54 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,905.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,090.30 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,621.81