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Oregon rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,962.43 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $691.00 / $691.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.23 / $1,832.92 / $2,052.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.23 / $1,379.86 / $2,154.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.17 / $1,484.28 / $1,760.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.83 / $1,904.18 / $6,437.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,813.93 / $11,944.47 / $14,473.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00