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Kansas 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
$1,122.02 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,778.28 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,884.03 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $831.76