go back

Maryland rates for HCPCS 65275

Repair of laceration; cornea, nonperforating, with or without removal foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $933.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $478.63 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $630.96 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $933.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $851.14