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Oklahoma rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $1,155.52 / $1,448.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $20.17 / $20.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.20 / $674.17 / $912.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.80 / $183.46 / $1,818.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $1,152.04 / $1,947.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $1,448.22 / $3,790.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.19 / $1,436.37 / $4,010.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.83 / $1,436.37 / $1,809.57