go back

Indiana 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
$1,240.39 / $2,453.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.39 / $1,312.18 / $1,483.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $10,284.00 / $16,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.07 / $1,391.10 / $1,874.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.13 / $1,589.27 / $2,403.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.13 / $1,483.91 / $2,136.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $908.00 / $2,126.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.01 / $1,416.84 / $2,248.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,818.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.77 / $1,347.37 / $2,269.58