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Missouri 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
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.52 / $1,471.00 / $2,030.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.00 / $1,395.33 / $2,119.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.00 / $831.00 / $1,756.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.59 / $1,501.56 / $2,985.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.21 / $3,318.00 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.09 / $1,572.64 / $9,849.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.77 / $1,463.46 / $2,542.38