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Vermont rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.77 / $790.97 / $1,628.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $1,000.10 / $2,063.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.46 / $1,332.92 / $2,063.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.77 / $1,772.74 / $5,083.39