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Tennessee 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
$1,500.00 / $4,341.45 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.71 / $1,972.09 / $2,207.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.88 / $4,036.00 / $6,416.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.82 / $1,843.28 / $4,267.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.68 / $1,786.66 / $2,923.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,550.71 / $10,713.90 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,376.48 / $11,778.64 / $12,925.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.32 / $1,646.87 / $2,992.26