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Ohio rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.67 / $5,135.00 / $10,817.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $3,405.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.99 / $1,065.34 / $1,994.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.78 / $1,469.12 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.12 / $1,469.12 / $1,638.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,460.00 / $7,847.00