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Texas rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.00 / $3,219.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.35 / $4,909.47 / $9,381.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.49 / $2,592.90 / $2,592.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.70 / $1,953.70 / $2,017.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.19 / $971.47 / $1,403.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.34 / $989.38 / $1,647.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00