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Maryland rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.06 / $583.54 / $619.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.00 / $522.29 / $548.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $513.90 / $1,575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.84 / $531.34 / $863.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.17 / $571.75 / $745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.29 / $458.35 / $970.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.12 / $522.47 / $571.75