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Arizona rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $2,818 · 10th–90th $1,148–$6,0260%10%10th90th$2,818Professionalmedian $1,122 · 10th–90th $52–$2,2910%5%10%10th90th$1,122$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $1,122.02 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,981.07 / $7,244.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $954.99 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $1,047.13 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $1,445.44 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,584.89 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,659.59 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $933.25 / $1,778.28