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Tennessee rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $3,478.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.15 / $843.94 / $1,003.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.73 / $427.73 / $427.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.88 / $4,036.00 / $6,480.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.04 / $911.05 / $1,807.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,758.86 / $9,001.70 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,493.22 / $4,641.50 / $4,877.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,611.00 / $5,023.00 / $8,538.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.54 / $844.42 / $1,579.33