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Illinois rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $1,995 · 10th–90th $380–$5,6230%5%10th90th$1,995Professionalmedian $1,230 · 10th–90th $58–$2,3440%5%10th90th$1,230$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
$331.13 / $1,995.26 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $1,230.27 / $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
$1,174.90 / $1,174.90 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,288.25 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $1,071.52 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $1,047.13 / $2,238.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $1,737.80 / $3,548.13
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $53.70 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,187.76 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $1,202.26 / $2,630.27