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Georgia rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.03 / $5,063.00 / $7,391.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.26 / $828.67 / $1,583.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.16 / $534.16 / $1,605.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.49 / $3,116.30 / $6,271.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.90 / $907.31 / $1,573.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.56 / $1,203.30 / $74,999.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.71 / $1,058.71 / $1,058.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.38 / $1,258.68 / $5,215.42
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,050.00 / $3,050.00 / $3,050.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.72 / $851.16 / $970.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $6,206.00 / $8,554.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.92 / $927.42 / $1,457.25