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New York rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.88 / $4,574.00 / $10,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,217.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.30 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.78 / $828.78 / $2,203.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $772.34 / $1,870.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $828.78 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.00 / $5,191.00 / $11,098.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.70 / $1,009.70 / $1,935.61