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Tennessee 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
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.24 / $1,048.20 / $1,217.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.89 / $945.68 / $2,268.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.78 / $925.74 / $1,436.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,601.88 / $9,001.70 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,106.48 / $6,367.76 / $6,996.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.00 / $807.11 / $1,530.92