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Michigan rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $2,042 · 10th–90th $76$4,8980%10%20%10th90th$2,042Professionalmedian $1,072 · 10th–90th $56$2,3440%5%10%10th90th$1,072$10.0$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
$75.86 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $1,071.52 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $97.72 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$104.71 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $933.25 / $2,041.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $1,318.26 / $2,089.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $933.25 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $2,238.72 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $912.01 / $1,862.09