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Maryland rates for HCPCS 65290

Repair of wound, extraocular muscle, tendon and/or Tenon's capsule

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $776.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $501.19 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $512.86 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $912.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $478.63 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $676.08