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Pennsylvania rates for HCPCS 65110

Exenteration Orbit Remvl Orbital Contents Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.48 / $1,346.02 / $1,809.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.70 / $1,329.03 / $2,190.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.69 / $1,305.76 / $2,201.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.66 / $1,549.66 / $1,998.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,965.33 / $7,965.33 / $7,965.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.95 / $1,453.49 / $6,749.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.80 / $1,310.80 / $1,310.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.38 / $1,349.34 / $2,201.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.78 / $1,274.56 / $1,274.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.78 / $1,274.56 / $1,356.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.05 / $1,443.31 / $2,477.92