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California rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.00 / $4,941.00 / $16,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.24 / $583.65 / $1,459.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.00 / $4,785.00 / $10,404.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.83 / $496.82 / $2,718.26
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,902.52
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.67 / $918.99 / $2,039.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.31 / $705.31 / $745.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.19 / $1,133.48 / $2,572.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.74 / $249.44 / $1,788.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.86 / $1,043.65 / $2,209.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $833.35 / $960.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,172.53 / $7,886.96 / $9,303.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.69 / $860.59 / $1,884.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.90 / $1,194.08 / $3,021.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $490.77 / $4,116.46
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.28 / $349.22 / $1,657.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,509.00 / $9,758.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.04 / $1,244.24 / $2,976.33