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Kentucky rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.17 / $1,178.28 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.17 / $1,042.08 / $1,658.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $1,071.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.36 / $69.81 / $98.28
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$78.54 / $104.73 / $147.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.88 / $54.77 / $64.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.30 / $56.96 / $1,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.41 / $1,003.82 / $2,537.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $821.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.09 / $1,479.46 / $2,582.67