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Colorado 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
$1,768.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.34 / $750.74 / $1,682.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.82 / $1,181.73 / $1,715.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.06 / $971.08 / $1,438.21
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.27 / $1,009.18 / $1,494.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.04 / $1,168.98 / $1,581.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.00 / $8,586.00 / $15,893.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.79 / $1,029.02 / $1,743.57