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Ohio 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
$1,348.96 / $5,888.44 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,715.35 / $15,135.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,621.81 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,621.81 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $891.25 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,754.40 / $9,120.11