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Texas rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $3,682.00 / $12,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.16 / $776.37 / $1,063.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.45 / $550.91 / $606.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.08 / $4,909.47 / $9,443.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.53 / $746.02 / $1,046.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.38 / $644.62 / $644.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.71 / $1,058.71 / $1,058.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,493.22 / $4,641.50 / $4,877.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.35 / $900.87 / $1,356.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.91 / $740.94 / $1,025.91
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.65 / $2,334.31 / $3,050.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.58 / $583.07 / $986.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.71 / $921.81 / $1,489.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.91 / $877.46 / $1,276.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.94 / $747.92 / $1,137.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.44 / $550.91 / $772.92