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Iowa rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $5,248.07 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,412.54 / $1,737.80
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $741.31 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,754.23 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,548.82 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,511.38 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,122.02 / $2,041.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,318.26