go back

Maine rates for HCPCS 65400

Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $851.14 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$776.25 / $1,288.25 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $1,445.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,318.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $891.25 / $1,737.80
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,230.27