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Connecticut rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $4,571 · 10th–90th $2,291–$8,5110%10%10th90th$4,571Professionalmedian $1,122 · 10th–90th $58–$2,3990%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
$2,290.87 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $1,122.02 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,168.69 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $158.49 / $2,884.03
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $234.42 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $1,202.26 / $3,388.44
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,584.89 / $2,511.89
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,778.28 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,025.60 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $1,096.48 / $2,454.71