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Virginia 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
$619.99 / $5,087.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.82 / $485.78 / $619.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.44 / $561.87 / $794.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.19 / $1,018.48 / $4,284.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.53 / $542.53 / $542.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.14 / $587.15 / $921.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.64 / $530.16 / $683.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.73 / $597.65 / $894.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $679.00 / $918.08
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.51 / $609.27 / $9,210.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.51 / $609.27 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.41 / $467.62 / $815.66