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Indiana rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.56 / $759.02 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.56 / $632.52 / $773.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.62 / $574.50 / $773.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.03 / $598.46 / $1,039.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.20 / $745.44 / $1,118.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.73 / $450.00 / $815.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.87 / $647.59 / $1,137.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.00 / $3,817.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.55 / $755.70 / $1,283.63