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Washington, DC rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,807.41 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.90 / $80.15 / $1,807.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.39 / $79.53 / $5,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.38 / $1,230.45 / $3,420.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.21 / $1,592.35 / $2,624.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.22 / $1,398.16 / $3,575.29