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Mississippi rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.00 / $1,140.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.33 / $491.16 / $1,183.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.32 / $1,762.32 / $1,762.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.00 / $808.00 / $808.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.82 / $1,815.08 / $2,668.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.66 / $640.55 / $938.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,717.00 / $7,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.40 / $551.82 / $1,017.36