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Oregon rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.78 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $691.00 / $691.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.70 / $1,548.22 / $1,735.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.70 / $1,166.69 / $1,769.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.10 / $1,258.26 / $1,489.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.53 / $1,618.22 / $6,437.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,813.93 / $11,944.47 / $14,473.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00