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Indiana rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.73 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.54 / $888.32 / $1,343.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $646.00 / $2,126.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,818.00 / $11,038.00