go back

Nebraska rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.48 / $756.03 / $2,597.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.84 / $6,306.95 / $12,298.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.30 / $748.80 / $998.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.56 / $2,380.56 / $2,380.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.60 / $1,116.45 / $1,480.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.47 / $1,035.33 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.41 / $1,002.95 / $1,365.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.92 / $1,294.67 / $3,015.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.00 / $1,015.85 / $1,294.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.19 / $1,049.59 / $1,306.17