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Kentucky rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.31 / $929.24 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.89 / $767.22 / $955.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.00 / $4,261.00 / $11,262.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.42 / $777.34 / $1,132.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.05 / $739.83 / $845.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.45 / $739.83 / $1,056.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.21 / $1,022.21 / $1,058.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $560.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.92 / $834.14 / $1,176.19