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West Virginia rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.18 / $487.18 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.33 / $487.18 / $853.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.50 / $546.71 / $595.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.69 / $501.15 / $592.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.53 / $542.53 / $542.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.98 / $586.41 / $2,690.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.89 / $478.84 / $706.86