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Connecticut rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.46 / $6,775.00 / $12,718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.77 / $997.38 / $1,754.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $9,678.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.98 / $1,130.24 / $1,972.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.70 / $699.18 / $1,336.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.15 / $872.39 / $1,751.32