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New York rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,248.07 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $2,570.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,819.70
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,630.27 / $12,302.69
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,754.40 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $2,691.53
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,949.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,122.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $776.25 / $1,230.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $794.33 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $4,897.79 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,548.82
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $794.33 / $2,691.53
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $2,398.83