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Indiana rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.79 / $1,059.59 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.79 / $750.00 / $1,259.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.63 / $312.88 / $466.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.34 / $127.64 / $228.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.87 / $1,232.33 / $1,774.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $450.00 / $565.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $917.31 / $1,684.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,818.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.76 / $1,340.29 / $2,383.76