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California rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $6,626.00 / $17,380.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $7,007.00 / $14,981.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,263.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.29 / $2,256.40 / $3,075.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.82 / $909.83 / $1,228.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.51 / $932.58 / $1,753.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.68 / $11,500.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.66 / $925.28 / $1,321.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,110.00 / $9,699.00 / $20,988.00