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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
$977.24 / $2,691.53 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,819.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $9,549.93 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,621.81
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $45,708.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,918.31