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Arizona rates for HCPCS 65103

Enucleation of eye; with implant, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $691.83 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,513.56 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $7,244.36