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Connecticut 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
$3,162.28 / $5,495.41 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,302.69 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $977.24 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $707.95 / $1,548.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $512.86 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,709.64 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $1,318.26