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Kentucky 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
$57.54 / $1,348.96 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $1,047.13 / $2,041.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $69.18 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$89.13 / $104.71 / $165.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $50.12 / $58.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $54.95 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $1,513.56 / $5,888.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,445.44 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $1,122.02 / $2,089.30