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Missouri rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.02 / $767.22 / $1,020.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.20 / $931.00 / $1,311.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.71 / $2,380.83 / $3,014.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.11 / $2,456.02 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.25 / $896.51 / $4,493.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.92 / $849.91 / $1,240.58