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Indiana rates for HCPCS 65112

Exenteration Orbit Rmvl Orbit Contents & Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.33 / $3,500.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.33 / $1,503.25 / $1,702.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,209.00 / $10,923.00 / $20,184.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.92 / $1,477.40 / $1,990.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.86 / $1,823.19 / $2,757.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.86 / $1,702.33 / $2,451.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $1,260.00 / $2,126.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.83 / $1,561.98 / $2,652.78
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
$1,212.32 / $1,574.92 / $2,656.82