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Washington, DC 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
$1,122.02 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,905.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,818.38 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $16,218.10 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $2,187.76