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Minnesota 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
$56.23 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $1,122.02 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,862.09 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $275.42 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $407.38 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,168.69 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $912.01 / $5,495.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,981.07 / $7,943.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $1,905.46 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $1,513.56 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $1,230.27 / $3,890.45