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Ohio 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
$1,418.18 / $5,135.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.62 / $962.05 / $2,726.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,967.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.66 / $850.85 / $1,497.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.59 / $1,392.21 / $1,994.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.89 / $1,091.93 / $1,703.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.96 / $1,469.12 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.99 / $1,139.94 / $1,870.19
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.12 / $1,469.12 / $1,638.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.02 / $1,163.04 / $1,669.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.96 / $685.45 / $1,165.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,625.00 / $9,245.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.81 / $955.75 / $1,922.84