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Florida rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.00 / $5,027.68 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.38 / $743.06 / $1,068.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.16 / $534.16 / $1,342.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.71 / $2,516.35 / $3,014.88
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,790.00 / $12,742.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.31 / $437.25 / $804.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $412.02 / $776.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,774.00 / $8,197.00 / $13,555.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.84 / $689.44 / $1,221.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.88 / $449.88 / $449.88