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Louisiana 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
$941.00 / $2,758.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.20 / $2,389.32 / $2,656.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.59 / $6,055.24 / $8,967.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.49 / $2,057.44 / $2,490.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.00 / $1,336.00 / $1,336.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.33 / $1,759.48 / $2,478.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.90 / $1,546.62 / $2,950.16