go back

Louisiana rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $1,117.89 / $2,173.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.80 / $1,704.51 / $2,670.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.07 / $125.42 / $1,846.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.31 / $694.31 / $694.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.66 / $860.80 / $2,036.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.84 / $1,508.19 / $2,661.57