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New Jersey rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.83 / $4,294.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $1,042.08 / $1,841.11
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.41 / $28.41 / $1,714.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.27 / $1,137.89 / $3,440.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.34 / $1,531.19 / $3,601.95
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.71 / $2,677.24 / $4,782.30
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $1,448.07 / $2,156.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,425.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.35 / $1,621.96 / $3,235.16