go back

Arkansas rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,071.52 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $912.01 / $1,737.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $165.96 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $501.19 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,951.21 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $977.24 / $1,949.84