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Indiana 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 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,071.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $912.01 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,413.10 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,412.54