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Kansas rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $1,117.89 / $2,173.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $23.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.46 / $109.46 / $2,171.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.87 / $1,152.04 / $2,160.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,435.00 / $2,568.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.17 / $1,679.57 / $4,010.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $1,786.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.20 / $1,654.80 / $2,334.92