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Oklahoma 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
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,691.53 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,073.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,000.00