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Texas 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
$776.25 / $2,951.21 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $707.95 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,023.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $3,388.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,754.40 / $5,754.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $794.33 / $3,801.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $380.19 / $676.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $912.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $707.95 / $707.95