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Kentucky 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
$481.70 / $637.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.94 / $500.11 / $617.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,428.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.76 / $427.37 / $666.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.41 / $613.07 / $700.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.06 / $613.07 / $875.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.98 / $542.53 / $1,728.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.53 / $570.96 / $1,038.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $323.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.32 / $501.70 / $822.36