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California rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.95 / $5,178.00 / $16,573.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.00 / $4,785.00 / $10,404.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,367.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.64 / $2,256.40 / $3,075.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.49 / $958.79 / $1,294.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.18 / $980.98 / $1,841.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,205.16 / $11,500.00 / $12,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.00 / $944.94 / $1,368.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,509.00 / $9,707.00 / $20,988.00