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Minnesota rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $1,479.22 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $1,185.07 / $2,294.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.54 / $1,592.61 / $3,597.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $1,100.22 / $3,429.29
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$110.67 / $390.00 / $4,987.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,556.10 / $3,989.41 / $9,597.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.07 / $302.52 / $4,916.56
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,215.09 / $3,647.28 / $7,556.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.12 / $908.15 / $4,434.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.48 / $1,521.90 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.37 / $2,657.28 / $5,835.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.05 / $2,496.19 / $5,384.02