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Georgia rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $3,548 · 10th–90th $1,175–$7,4130%5%10%10th90th$3,548Professionalmedian $166 · 10th–90th $56–$2,3440%5%10th90th$166$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
$1,659.59 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $1,202.26 / $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
$1,698.24 / $1,905.46 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$95.50 / $128.82 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $1,288.25 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $1,412.54 / $3,467.37
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $1,584.89 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,511.89 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $1,258.93 / $2,511.89