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Arkansas rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $1,071.52 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $1,047.13 / $1,995.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,202.26 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $63.10 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $776.25 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,318.26 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $1,096.48 / $2,187.76