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Rhode Island rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.63 / $540.66 / $569.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.84 / $577.46 / $969.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.15 / $573.74 / $1,022.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $5,164.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.73 / $493.34 / $768.23