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Illinois rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,884.03 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,888.44 / $15,848.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,071.52 / $3,235.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,365.16 / $9,332.54