go back

Texas rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,011.87 / $9,772.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,995.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $45,708.82 / $45,708.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $4,786.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,128.61 / $10,964.78