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Indiana rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $1,885.53 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,810.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.87 / $932.94 / $1,411.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.00 / $422.00 / $2,126.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,818.00 / $11,038.00