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Pennsylvania rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,627.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.73 / $490.25 / $661.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.18 / $495.19 / $882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.65 / $503.19 / $859.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.34 / $573.34 / $739.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.47 / $580.54 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.79 / $553.79 / $553.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.15 / $516.26 / $859.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.39 / $470.28 / $470.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.39 / $470.28 / $498.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.49 / $528.97 / $908.80