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Missouri 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
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.97 / $1,683.92 / $2,325.67
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
$1,280.00 / $1,592.98 / $2,450.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.00 / $1,153.00 / $1,756.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.28 / $1,770.25 / $3,384.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.09 / $3,542.88 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.29 / $1,801.12 / $11,285.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,347.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.64 / $1,721.26 / $2,825.81