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Maryland rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,242.32 / $2,242.32 / $2,242.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.44 / $464.84 / $1,545.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $159.31 / $727.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $424.00 / $449.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.87 / $927.33 / $1,937.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.44 / $1,320.00 / $1,721.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.05 / $1,247.28 / $2,169.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.31 / $964.11 / $1,320.00