go back

Maine rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $708 · 10th–90th $708–$7080%50%100%$708Professionalmedian $141 · 10th–90th $54–$2,3440%10%10th90th$141$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $1,071.52 / $2,344.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $61.66 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$53.70 / $93.33 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $1,380.38 / $2,884.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $194.98 / $2,398.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $141.25 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $1,071.52 / $2,398.83