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Oregon rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $2,188 · 10th–90th $85$4,7860%20%10th90th$2,188Professionalmedian $1,175 · 10th–90th $63$2,6300%10%10th90th$1,175$50.0$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$107.15 / $2,951.21 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,174.90 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $1,071.52 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $208.93 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $1,348.96 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $1,288.25 / $3,090.30
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,187.76 / $2,691.53
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $1,348.96 / $3,235.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $131.83 / $3,162.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,162.28 / $3,801.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $147.91 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,897.79 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $1,148.15 / $3,311.31