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West Virginia rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.26 / $742.26 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.78 / $807.35 / $879.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.78 / $828.78 / $828.78