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Minnesota rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.54 / $520.54 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.54 / $576.78 / $1,050.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.79 / $6,592.19 / $13,740.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.18 / $1,055.61 / $1,706.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.55 / $1,717.60 / $4,131.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.77 / $1,345.46 / $2,120.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.60 / $1,570.30 / $3,253.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.34 / $1,142.67 / $1,945.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.44 / $906.14 / $6,927.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.50 / $910.77 / $1,983.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.92 / $874.47 / $1,866.70