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Tennessee rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,878.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.68 / $9,001.70 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,567.00 / $7,669.00