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Arizona rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Facilitymedian $4,677 · 10th–90th $2,042–$8,1280%10%10th90th$4,677Professionalmedian $832 · 10th–90th $575–$1,4790%10%10th90th$832$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,677.35 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $831.76 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,981.07 / $7,244.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $575.44 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,698.24 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $831.76 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,890.45 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $1,230.27