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Mississippi 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
$741.31 / $1,584.89 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,819.70 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,162.28 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,513.56