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West Virginia rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.62 / $1,200.00 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.62 / $124.13 / $1,807.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.21 / $46.21 / $54.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $48.73 / $48.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.85 / $1,003.82 / $2,659.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.46 / $1,596.81 / $2,501.33