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Pennsylvania 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
$954.99 / $3,890.45 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,202.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $691.83 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,071.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,174.90
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,148.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $6,165.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $933.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,818.38 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,659.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,348.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $489.78 / $645.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,818.38 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $1,071.52