go back

South Carolina rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.15 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.41 / $580.54 / $610.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,170.88 / $5,992.88 / $9,876.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.01 / $585.00 / $949.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $2,594.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.37 / $591.77 / $1,152.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.00 / $588.27 / $858.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.00 / $755.00 / $2,174.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.74 / $366.70 / $555.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.97 / $501.65 / $852.81