go back

Pennsylvania rates for HCPCS 65920

Removal of implanted material, anterior segment of eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $5,342.00 / $10,398.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $1,071.00 / $1,071.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,700.67 / $11,083.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $1,071.00 / $1,071.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.73 / $759.60 / $759.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00