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Minnesota rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.66 / $809.66 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,949.52 / $6,726.72 / $13,892.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.86 / $2,651.65 / $6,378.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.03 / $2,424.23 / $5,022.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.80 / $1,362.73 / $6,927.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00