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Maine rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.33 / $754.33 / $786.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.10 / $626.11 / $925.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.23 / $814.23 / $814.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.52 / $880.59 / $1,054.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.69 / $691.53 / $1,060.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.33 / $754.33 / $754.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.39 / $691.53 / $982.24