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Hawaii rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Facilitymedian $6,026 · 10th–90th $2,138–$6,0260%50%10th$6,026Professionalmedian $1,549 · 10th–90th $676–$8,7100%10%10th90th$1,549$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,025.60 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $831.76 / $1,047.13
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,380.38 / $12,589.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $660.69 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $1,096.48
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $4,677.35 / $9,332.54