go back

Maine rates for HCPCS 65436

Removal of corneal epithelium; with application of chelating agent (eg, EDTA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $831.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $741.31