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Arizona rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.96 / $836.69 / $1,447.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.27 / $531.27 / $531.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,670.74 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.08 / $536.22 / $576.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.15 / $1,708.91 / $7,047.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.72 / $791.28 / $4,493.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,250.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.72 / $745.59 / $1,293.97