go back

Louisiana rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.00 / $2,418.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.20 / $926.81 / $1,144.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,273.41 / $6,334.49 / $10,789.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.72 / $846.46 / $1,486.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.62 / $644.62 / $644.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.94 / $773.74 / $1,452.44