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Arizona rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.39 / $1,117.89 / $1,876.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.09 / $950.09 / $1,128.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,670.74 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $788.64 / $1,147.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.16 / $1,137.89 / $2,058.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.72 / $1,437.01 / $3,187.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.80 / $1,508.19 / $4,010.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $2,517.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.00 / $1,403.34 / $2,633.99