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Oklahoma rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,779.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,390.22 / $8,501.96 / $13,529.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.49 / $1,655.49 / $1,655.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.99 / $2,495.00 / $7,992.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94