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Minnesota 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 / $933.25 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $8,912.51 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,454.71 / $3,981.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $6,025.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,137.96 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,380.38 / $2,818.38