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Indiana rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.30 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.30 / $709.14 / $841.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $10,284.00 / $16,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.10 / $937.24 / $1,300.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.45 / $716.84 / $1,084.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.45 / $669.31 / $963.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.21 / $1,058.71 / $1,604.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.00 / $7,818.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.91 / $786.23 / $1,359.86