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Alabama rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $1,100.00 / $2,541.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $670.00 / $2,541.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.23 / $1,128.23 / $1,128.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.52 / $857.40 / $1,153.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $971.45 / $1,330.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $878.35 / $2,129.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,738.00 / $3,362.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.28 / $1,321.46 / $1,766.74