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Vermont rates for HCPCS 65290

Repair of wound, extraocular muscle, tendon and/or Tenon's capsule

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $741.31 / $912.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $2,041.74