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Vermont rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $1,071.52 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $933.25 / $2,398.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $1,445.44 / $3,548.13