go back

Pennsylvania 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
$642.72 / $3,964.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.03 / $554.45 / $761.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.34 / $591.87 / $1,034.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.64 / $542.44 / $880.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.44 / $694.44 / $895.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,091.69 / $3,091.69 / $3,091.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.51 / $582.14 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.10 / $424.10 / $424.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.27 / $549.02 / $880.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.94 / $442.56 / $566.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.36 / $468.42 / $604.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.77 / $627.52 / $1,076.22