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Oklahoma 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
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $10,000.00 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,691.53 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,073.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $630.96