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Louisiana rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $1,479 · 10th–90th $501–$3,7150%5%10%10th90th$1,479Professionalmedian $1,148 · 10th–90th $54–$2,1880%5%10%10th90th$1,148$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$501.19 / $1,318.26 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $1,230.27 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,698.24 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $125.89 / $1,479.11
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $851.14 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,445.44 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $1,071.52 / $2,089.30