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Massachusetts rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.63 / $569.76 / $786.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.09 / $4,983.00 / $10,138.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.99 / $690.58 / $3,533.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.82 / $692.82 / $2,160.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,082.51 / $2,082.51 / $2,082.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.64 / $865.65 / $1,585.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.97 / $1,047.35 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.79 / $667.69 / $921.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.91 / $1,196.15 / $5,944.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,572.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.77 / $699.74 / $3,533.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,402.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.27 / $641.66 / $1,433.41