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Washington, DC rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.22 / $854.01 / $854.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.53 / $1,038.09 / $6,937.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.84 / $713.08 / $1,355.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.34 / $765.35 / $1,999.51