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New York 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
$1,096.48 / $4,265.80 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,187.76 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $3,019.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $4,897.79 / $11,481.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $2,238.72