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New York rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $3,802 · 10th–90th $851$10,2330%10%10th90th$3,802Professionalmedian $1,318 · 10th–90th $65$3,0200%10%10th90th$1,318$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$114.82 / $3,019.95 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,122.02 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,479.11 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,819.70 / $2,238.72 / $5,128.61
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $74.13 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $1,202.26 / $3,715.35
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $75.86 / $138.04
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,819.70 / $2,630.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,318.26 / $2,290.87
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,778.28 / $1,778.28
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,949.84 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,467.37 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $1,258.93 / $2,570.40
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $60.26 / $154.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $1,174.90 / $2,238.72