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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.87 / $551.41 / $583.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.98 / $436.26 / $701.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.81 / $442.90 / $1,100.27