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Louisiana rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,479.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,456.54 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,000.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,445.44