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North Dakota rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $1,445 · 10th–90th $55$8,5110%20%10th90th$1,445Professionalmedian $1,047 · 10th–90th $58$3,5480%5%10th90th$1,047$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
$54.95 / $1,445.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $1,047.13 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $112.20 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $169.82 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $147.91 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,096.48 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,570.40 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,819.70 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $147.91 / $2,691.53