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North Carolina rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.26 / $6,953.60 / $10,690.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.30 / $767.22 / $1,063.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.44 / $1,194.56 / $2,073.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.26 / $1,037.85 / $1,146.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.00 / $824.00 / $1,037.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.59 / $849.91 / $1,928.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,758.86 / $9,001.70 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,641.50 / $4,641.50 / $4,877.33