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New Jersey rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.48 / $6,922.00 / $11,332.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.89 / $818.92 / $1,068.57
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.86 / $727.86 / $727.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.17 / $1,740.17 / $1,912.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.69 / $699.18 / $1,644.75
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,398.64 / $7,642.89 / $9,168.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.48 / $733.14 / $1,317.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.64 / $759.59 / $1,486.45