go back

Tennessee 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
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.94 / $614.99 / $733.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.00 / $3,728.00 / $6,090.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.31 / $608.55 / $1,330.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.34 / $578.66 / $967.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,653.14 / $9,001.70 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,533.68 / $3,648.72 / $4,002.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.49 / $536.77 / $1,245.16