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Minnesota 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
$154.88 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $912.01 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $7,244.36 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $660.69 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,466.84 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $1,659.59 / $4,786.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,265.80 / $8,317.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $1,905.46 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $1,318.26 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,187.76 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,760.83 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,096.48 / $3,467.37