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Minnesota rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.66 / $714.66 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.08 / $776.38 / $1,424.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.91 / $6,191.58 / $13,740.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.18 / $1,309.90 / $2,065.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.52 / $2,087.87 / $5,022.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.18 / $1,645.93 / $2,588.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.85 / $1,908.82 / $3,954.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.76 / $1,394.65 / $2,373.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.57 / $1,207.78 / $6,927.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.92 / $1,240.41 / $2,697.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.92 / $1,206.88 / $2,624.53