go back

California rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $6,626.00 / $17,380.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $7,007.00 / $14,981.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,263.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.29 / $2,256.40 / $3,075.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.32 / $1,073.61 / $1,449.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.25 / $1,102.83 / $2,068.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,739.93 / $11,500.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.27 / $1,085.61 / $1,717.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,244.00 / $9,713.00 / $21,278.00