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Texas rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $2,124.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.60 / $910.51 / $1,650.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.17 / $1,011.17 / $1,011.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,439.11 / $4,690.59 / $9,297.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.35 / $589.27 / $1,455.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.62 / $83.62 / $1,141.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.75 / $1,093.76 / $1,944.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $833.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,172.53 / $7,886.96 / $9,303.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.01 / $902.47 / $1,807.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.01 / $1,173.47 / $1,813.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.51 / $960.61 / $1,833.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.01 / $859.49 / $1,824.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.96 / $1,126.21 / $2,022.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.40 / $1,242.56 / $1,926.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.47 / $1,011.17 / $1,449.70