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Washington 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
$1,698.24 / $7,762.47 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $3,801.89
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,949.84 / $9,549.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $1,778.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,202.26 / $1,445.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $10,964.78 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $12,022.64 / $22,387.21