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Iowa rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,981.07 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $912.01 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,454.71 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,513.56 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,128.31 / $10,964.78