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Delaware rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.35 / $105.98 / $1,669.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.15 / $1,109.44 / $1,669.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.94 / $1,069.94 / $1,188.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.79 / $1,398.16 / $3,170.94