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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $537.03 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $776.25