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Hawaii 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
$2,583.13 / $3,107.00 / $8,431.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.11 / $1,773.11 / $1,773.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.60 / $2,016.90 / $2,420.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.46 / $2,343.59 / $2,839.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,774.87 / $1,936.22 / $2,258.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.74 / $1,957.30 / $2,051.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.79 / $5,316.74 / $11,157.30