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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
$9,394.86 / $9,394.86 / $9,394.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.03 / $582.14 / $761.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.35 / $489.17 / $513.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $634.82 / $1,575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.86 / $528.36 / $1,041.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.39 / $690.47 / $900.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.54 / $552.45 / $1,161.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $498.83 / $690.47