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Florida 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
$933.25 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,584.89 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,819.70
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,585.78 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,230.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $831.76