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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,281.44 / $1,898.76 / $2,023.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.00 / $1,570.50 / $1,688.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.00 / $1,002.61 / $1,575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.58 / $1,654.59 / $2,783.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.79 / $1,845.51 / $2,407.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.57 / $1,436.83 / $3,170.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.98 / $1,684.88 / $1,845.51