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Minnesota rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.46 / $952.46 / $5,521.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,566.68 / $6,726.72 / $14,294.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.75 / $3,128.23 / $7,525.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.23 / $2,859.95 / $5,925.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.88 / $1,609.66 / $6,927.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00