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West Virginia rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.81 / $657.81 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.38 / $843.94 / $1,163.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.40 / $658.02 / $716.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.27 / $603.19 / $712.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.71 / $1,058.71 / $1,058.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.82 / $1,359.82 / $1,359.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.82 / $819.56 / $1,282.04