go back

Virginia rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.08 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.10 / $910.51 / $1,545.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.92 / $137.16 / $228.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $310.64 / $6,694.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $176.00 / $176.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $871.58 / $1,890.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.27 / $1,263.84 / $1,579.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.10 / $1,040.95 / $1,939.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.00 / $1,621.93 / $2,229.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.88 / $326.66 / $9,210.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.59 / $1,511.96 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.72 / $1,276.72 / $2,223.07