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Alabama rates for HCPCS 65130

Insertion of ocular implant secondary; after evisceration, in scleral shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,570.88 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,630.78 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,000.00