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North Carolina 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
$832.63 / $1,245.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.80 / $832.63 / $1,173.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.55 / $951.48 / $2,202.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.03 / $935.01 / $1,809.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.13 / $872.00 / $1,210.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.23 / $902.00 / $902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.94 / $768.21 / $1,890.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,601.88 / $9,001.70 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,106.48 / $6,106.48 / $6,996.45