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Arkansas rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.22 / $1,397.00 / $4,478.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,555.03 / $3,555.03 / $4,266.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,936.64 / $3,936.64 / $3,936.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,268.00 / $5,626.00