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Arkansas rates for HCPCS 65114

Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.00 / $1,904.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.80 / $1,688.90 / $2,207.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,555.03 / $3,555.03 / $4,266.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.21 / $2,215.87 / $2,462.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,936.64 / $3,936.64 / $3,936.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.38 / $1,804.51 / $2,716.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.67 / $1,568.45 / $2,800.59