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Louisiana rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.60 / $1,145.04 / $1,890.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.41 / $160.41 / $160.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.74 / $3,273.41 / $7,458.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.68 / $491.70 / $1,603.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $473.98 / $1,776.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.68 / $1,304.69 / $2,425.02