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Maryland rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $513.90 / $1,575.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.21 / $867.34 / $1,131.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00