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Louisiana 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
$758.58 / $2,041.74 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $6,025.60 / $8,912.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,511.38