go back

Maryland rates for HCPCS 65112

Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,344.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,818.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,513.56 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $2,754.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $2,137.96