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North Carolina rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.57 / $1,141.69 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.57 / $964.25 / $1,434.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.60 / $2,036.60 / $2,036.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.28 / $1,397.02 / $2,794.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.78 / $956.85 / $2,561.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.57 / $1,141.69 / $1,525.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.00 / $1,478.00 / $1,525.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.09 / $184.57 / $1,779.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.58 / $1,311.30 / $2,857.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $833.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,172.53 / $7,886.96 / $9,303.98