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Wyoming 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
$133.24 / $259.87 / $1,094.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.00 / $665.00 / $5,506.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.02 / $563.60 / $2,353.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.64 / $2,671.50 / $4,670.16