go back

Arkansas rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.75 / $1,313.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.61 / $964.25 / $1,313.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.41 / $160.41 / $160.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,555.03 / $3,555.03 / $4,266.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.05 / $1,199.86 / $1,588.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.71 / $502.71 / $2,031.53
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.47 / $184.47 / $184.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.00 / $1,329.54 / $2,158.73