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Maine rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $90.68 / $2,186.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.71 / $64.37 / $83.89
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.07 / $96.55 / $125.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.29 / $1,727.36 / $2,867.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.59 / $95.12 / $2,414.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $84.15 / $2,186.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.89 / $1,935.36 / $2,335.78