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Illinois rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.72 / $2,232.00 / $5,405.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,992.33 / $9,191.95 / $20,048.81
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
$771.86 / $1,281.85 / $3,515.15
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
$1,152.00 / $4,803.00 / $8,995.00