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Indiana rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $7,762 · 10th–90th $1,585–$10,4710%10%10th90th$7,762Professionalmedian $155 · 10th–90th $51–$2,0890%5%10%10th90th$155$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
$60.26 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $1,174.90 / $2,089.30
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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,912.51 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $58.88 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$69.18 / $89.13 / $128.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $549.54 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $1,000.00 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,630.78 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $1,047.13 / $2,089.30