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Oklahoma 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 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,691.53 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,073.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,148.15