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Arizona rates for HCPCS 65290

Repair of wound, extraocular muscle, tendon and/or Tenon's capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.72 / $576.78 / $2,597.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.50 / $441.19 / $474.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $697.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.15 / $500.16 / $1,056.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.36 / $1,066.00 / $7,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.63 / $486.51 / $3,648.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.64 / $472.60 / $922.07