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Oklahoma rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,728.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.20 / $713.76 / $843.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,089.88 / $9,700.70 / $15,488.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.85 / $842.84 / $860.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.76 / $2,665.00 / $9,001.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.95 / $747.92 / $1,170.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.00 / $4,424.00 / $8,784.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.94 / $717.09 / $923.04