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Mississippi rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,533.05 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.38 / $663.92 / $1,599.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.73 / $427.73 / $427.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.32 / $1,762.32 / $1,762.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.00 / $1,459.00 / $1,459.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $3,189.00 / $8,411.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.94 / $795.29 / $1,601.06