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Idaho 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
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.50 / $2,435.96 / $3,422.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.91 / $1,964.31 / $2,627.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.29 / $2,538.00 / $3,612.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.74 / $2,568.54 / $3,024.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,748.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,412.57 / $9,164.31 / $11,714.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,571.17 / $3,135.22 / $3,176.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.36 / $1,935.46 / $2,924.68