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Kentucky rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $1,778 · 10th–90th $58–$10,7150%5%10%10th90th$1,778Professionalmedian $110 · 10th–90th $55–$1,9500%5%10%10th90th$110$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
$57.54 / $1,348.96 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $1,047.13 / $1,995.26
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
$4,466.84 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $69.18 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $104.71 / $1,659.59
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $58.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $54.95 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $1,513.56 / $5,888.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,089.30 / $4,168.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $1,122.02 / $2,089.30