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Wyoming rates for HCPCS 65780

Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.02 / $667.02 / $667.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.00 / $2,797.00 / $3,356.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.92 / $1,461.85 / $2,859.98