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Maine rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.06 / $285.85 / $1,972.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.57 / $177.34 / $222.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.55 / $1,509.22 / $2,457.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.61 / $228.27 / $2,115.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.06 / $285.85 / $1,888.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.65 / $1,627.52 / $2,104.56