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California rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $8,774.00 / $19,368.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.96 / $836.69 / $1,942.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.27 / $534.16 / $1,002.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $8,484.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.62 / $1,119.81 / $2,253.16
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,290.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.26 / $922.08 / $2,100.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.71 / $1,058.71 / $1,058.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.48 / $716.16 / $966.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $744.26 / $1,401.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,758.86 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,493.22 / $4,641.50 / $4,877.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.68 / $933.67 / $1,361.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.41 / $1,261.44 / $1,840.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.00 / $2,194.00 / $2,194.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.32 / $564.26 / $796.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,509.00 / $9,758.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.52 / $732.97 / $1,714.50