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Missouri rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $1,077.49 / $1,888.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.54 / $72.63 / $121.29
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.81 / $108.94 / $181.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $591.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.90 / $937.40 / $2,568.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,462.26 / $3,076.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.73 / $1,679.57 / $4,171.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,306.00 / $3,074.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.52 / $1,640.84 / $2,576.25