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Tennessee rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $1,071.16 / $2,003.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.70 / $1,701.70 / $1,701.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,291.00 / $3,911.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.60 / $993.71 / $3,247.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.58 / $878.35 / $2,352.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,277.14 / $2,277.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,010.05 / $8,851.89 / $10,631.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,260.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.64 / $1,585.82 / $2,852.79