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Kansas 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
$954.99 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $1,071.52 / $2,187.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,174.90 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $1,047.13 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,445.44 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $1,258.93 / $1,949.84