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Illinois rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $2,157.00 / $5,405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.54 / $614.91 / $890.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,507.24 / $6,155.56 / $11,109.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.04 / $782.39 / $857.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.66 / $655.49 / $936.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.91 / $738.93 / $1,688.72
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.89 / $590.29 / $640.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $724.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $4,803.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.11 / $620.14 / $1,057.97