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Maine 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
$446.68 / $575.44 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $691.83 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $1,047.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $933.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $933.25