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New York 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
$405.68 / $3,060.00 / $10,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.25 / $790.97 / $1,689.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,217.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.04 / $1,204.06 / $2,858.57
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.00 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.00 / $209.00 / $1,760.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $176.00 / $176.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.86 / $1,008.00 / $2,595.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.77 / $282.00 / $467.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.53 / $1,470.62 / $2,354.52
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.90 / $1,153.30 / $2,109.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.89 / $1,332.92 / $2,831.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.00 / $5,191.00 / $11,098.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.24 / $1,403.55 / $3,032.47
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.44 / $159.44 / $604.65
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.49 / $1,014.22 / $2,419.32