go back

Illinois rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $3,073.00 / $7,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.83 / $843.94 / $1,163.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,520.60 / $7,311.60 / $15,142.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.84 / $947.92 / $1,035.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.71 / $2,380.83 / $2,852.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.14 / $931.84 / $2,845.78
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.30 / $712.58 / $776.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $877.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,803.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.01 / $999.24 / $1,637.10