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Texas rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.00 / $3,219.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.35 / $4,909.47 / $9,381.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.27 / $643.27 / $672.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.70 / $1,953.70 / $2,017.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.61 / $826.73 / $1,182.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.79 / $839.11 / $1,404.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00