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Pennsylvania 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
$1,047.13 / $4,265.80 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $954.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $489.78 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $891.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $691.83
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $467.74 / $776.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,584.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $794.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $467.74 / $575.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,168.69 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $912.01