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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,174.90