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South Carolina rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $3,802 · 10th–90th $115–$9,7720%5%10th90th$3,802Professionalmedian $1,230 · 10th–90th $52–$2,2910%10%10th90th$1,230$50.0$200.0$1.0K$5.0K$20.0K

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
$154.88 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $1,258.93 / $2,398.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,949.84 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $1,023.29 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $1,023.29 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,318.26 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $4,897.79 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $1,000.00 / $1,949.84