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Maine rates for HCPCS 65286

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $758.58 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $707.95 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,513.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $851.14 / $1,318.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $831.76 / $1,258.93