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Missouri rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $1,905 · 10th–90th $676–$5,6230%5%10th90th$1,905Professionalmedian $178 · 10th–90th $54–$2,0420%5%10%10th90th$178$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
$812.83 / $2,511.89 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $1,230.27 / $2,089.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $74.13 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$87.10 / $112.20 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $1,202.26 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $870.96 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,479.11 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,778.28 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,148.15 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $1,148.15 / $2,089.30