go back

Rhode Island rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.42 / $87.66 / $1,502.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $139.25 / $1,517.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.22 / $131.68 / $2,897.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,052.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.40 / $1,494.53 / $2,248.84