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Hawaii rates for HCPCS 65260

Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.72 / $1,104.41 / $1,604.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.84 / $1,249.83 / $1,499.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.01 / $1,477.45 / $7,637.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.84 / $1,199.83 / $1,399.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.90 / $1,213.75 / $1,585.73
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.63 / $2,575.00 / $6,124.00