go back

Maine rates for HCPCS 65772

Corneal relaxing incision for correction of surgically induced astigmatism

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $575.44 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $776.25 / $954.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $870.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $831.76