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Pennsylvania rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.81 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.37 / $970.03 / $1,327.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.66 / $967.86 / $1,527.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.74 / $923.87 / $1,517.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.60 / $1,136.60 / $1,465.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.63 / $1,068.00 / $4,810.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.80 / $897.80 / $897.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.11 / $967.86 / $1,517.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.81 / $932.78 / $932.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.81 / $932.78 / $996.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.00 / $3,311.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.99 / $1,016.36 / $1,705.29