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New York 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
$670.61 / $4,648.00 / $10,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.06 / $580.54 / $1,251.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,217.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.32 / $498.46 / $1,139.34
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.37 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.37 / $686.37 / $686.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.53 / $542.53 / $2,203.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.31 / $597.76 / $1,366.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $546.04 / $1,228.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.63 / $655.25 / $1,017.52
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.46 / $461.33 / $1,029.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.53 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.31 / $621.91 / $1,366.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.00 / $5,191.00 / $11,098.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.32 / $546.04 / $1,101.85
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.68 / $663.68 / $1,344.97
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.46 / $663.68 / $1,313.20