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Oklahoma 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
$758.58 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $1,230.27 / $1,621.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $1,318.26 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $1,148.15 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $1,445.44 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,949.84 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $1,000.00 / $1,659.59