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Maryland rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.74 / $867.93 / $3,123.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.14 / $1,117.89 / $1,888.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.39 / $59.80 / $181.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $424.00 / $449.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $987.08 / $2,037.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.65 / $1,507.89 / $1,966.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $445.00 / $445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.03 / $1,452.38 / $2,659.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.42 / $1,142.08 / $1,507.89