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Massachusetts 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
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,230.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $6,165.95 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $691.83 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $870.96 / $1,584.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $912.01 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $588.84 / $812.83
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $758.58 / $1,380.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $6,309.57 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $676.08 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,380.38