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Pennsylvania rates for HCPCS 65930

Removal of blood clot, anterior segment of eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $6,025.60 / $9,549.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,128.61 / $9,549.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $616.60 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,467.37 / $7,413.10