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Hawaii rates for HCPCS 65110

Exenteration of orbit (does not include skin graft), removal of orbital contents; only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.35 / $1,481.35 / $1,481.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.86 / $1,690.81 / $2,028.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.76 / $2,022.17 / $4,765.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.92 / $1,623.18 / $1,893.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.30 / $1,638.16 / $2,082.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.94 / $3,692.19 / $9,324.00