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New Jersey rates for HCPCS 65290

Repair of wound, extraocular muscle, tendon and/or Tenon's capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $660.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,022.64 / $19,054.61
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,413.10 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $933.25