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New York 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
$1,333.10 / $4,792.00 / $10,526.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.51 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.97 / $1,223.97 / $1,685.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,145.06 / $2,765.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,223.97 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $3,972.00 / $7,939.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.67 / $1,496.67 / $3,071.19