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Connecticut rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $912.01 / $2,041.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,302.69 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $630.96 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $1,023.29 / $2,951.21
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,709.64 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $933.25 / $2,041.74