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Maine rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.22 / $955.47 / $1,068.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.21 / $777.90 / $1,137.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.30 / $840.33 / $1,289.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.83 / $828.79 / $1,024.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.50 / $1,010.57 / $1,201.38