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Arkansas 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
$851.14 / $1,445.44 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,818.38 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,445.44