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Missouri rates for HCPCS 65175

Removal of ocular implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.24 / $3,131.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.00 / $386.00 / $1,756.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.27 / $2,297.00 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,700.00 / $11,925.92