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Washington, DC 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
$616.60 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $1,258.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $2,290.87 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $16,218.10 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $1,318.26