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Missouri rates for HCPCS 65265

Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $4,931.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $730.00 / $1,344.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.91 / $2,833.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $2,849.00 / $4,838.00