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Ohio rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $2,630 · 10th–90th $182$10,7150%10%10th90th$2,630Professionalmedian $174 · 10th–90th $52$2,2910%10%10th90th$174$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$100.00 / $2,630.27 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $1,230.27 / $2,398.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$70.79 / $123.03 / $239.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $1,096.48 / $2,454.71
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $954.99 / $2,398.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $50.12
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $1,230.27
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $1,230.27 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $2,398.83 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $912.01 / $1,995.26