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Georgia 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
$1,445.44 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $794.33 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,162.28 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,071.52 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,288.25 / $5,248.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $1,288.25 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,248.07 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $1,122.02 / $2,187.76