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Vermont rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $954.99 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,000.00 / $2,041.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $1,258.93 / $3,019.95