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Washington, DC 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
$1,412.54 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $1,230.27 / $2,187.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $1,862.09 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $1,230.27 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,786.30 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $162.18 / $3,090.30