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Arkansas rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.34 / $1,313.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.31 / $975.00 / $1,524.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.00 / $1,701.70 / $1,810.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.50 / $887.50 / $1,065.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.46 / $1,111.25 / $1,470.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $780.76 / $2,349.86
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.65 / $1,829.65 / $1,956.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.09 / $1,473.63 / $2,480.05