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California rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $4,365 · 10th–90th $1,514$12,8820%10%10th90th$4,365Professionalmedian $1,122 · 10th–90th $60$2,3990%10%10th90th$1,122$20.0$100.0$500.0$2.0K$10.0K

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
$1,584.89 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,122.02 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $1,096.48 / $6,606.93
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,570.88 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $213.80 / $3,235.94
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $2,089.30 / $3,890.45
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $1,202.26 / $2,398.83
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $1,023.29 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $1,288.25 / $2,951.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $1,258.93 / $2,570.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $3,890.45
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,715.19 / $10,715.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $1,122.02 / $2,344.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $1,318.26 / $3,019.95
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $4,786.30
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $89.13 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,265.80 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $1,047.13 / $2,398.83