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Hawaii rates for HCPCS 65290

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

Facilitymedian $4,467 · 10th–90th $1,778–$4,4670%50%10th$4,467Professionalmedian $1,230 · 10th–90th $457–$6,0260%5%10%10th90th$1,230$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $616.60 / $741.31
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $5,495.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $524.81 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $537.03 / $794.33
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $3,235.94 / $6,165.95