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Kansas rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $3,162 · 10th–90th $490–$7,9430%5%10th90th$3,162Professionalmedian $1,148 · 10th–90th $58–$2,1880%5%10%10th90th$1,148$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
$954.99 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $1,122.02 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $1,047.13 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,445.44 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,698.24 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,174.90 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $1,148.15 / $1,949.84