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West Virginia rates for HCPCS 65093

Evisceration of ocular contents; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.45 / $735.45 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.60 / $799.57 / $871.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.07 / $822.07 / $822.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00