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Illinois rates for HCPCS 65093

Evisceration Ocular Contents W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.30 / $2,157.00 / $5,405.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,520.60 / $7,746.62 / $16,896.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.53 / $1,070.36 / $2,652.62
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $5,000.00 / $8,981.00