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Missouri 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
$602.56 / $4,073.80 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,412.54 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $954.99