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Connecticut rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $1,412.54 / $2,344.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,168.69 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $162.18 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.82 / $234.42 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $1,148.15 / $3,388.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,511.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,778.28 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $1,096.48 / $2,454.71