go back

Rhode Island rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.93 / $896.22 / $997.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.32 / $702.73 / $1,709.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $5,164.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.63 / $845.98 / $1,043.01