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Kansas 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
$1,495.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.06 / $1,060.41 / $1,731.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.41 / $160.41 / $160.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.51 / $354.51 / $1,924.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.36 / $1,021.51 / $1,941.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,459.13 / $4,312.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.38 / $1,496.81 / $4,269.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.00 / $3,572.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.28 / $1,434.56 / $1,971.73