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Texas rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $1,905 · 10th–90th $468$5,8880%5%10th90th$1,905Professionalmedian $1,072 · 10th–90th $51$2,0890%5%10%10th90th$1,072$50.0$200.0$1.0K$5.0K

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
$575.44 / $2,454.71 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $1,122.02 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,258.93 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,348.96 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $912.01 / $1,548.82
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,698.24 / $2,089.30
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $691.83 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $1,174.90 / $2,238.72
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $3,890.45
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,715.19 / $10,715.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $1,412.54 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $1,122.02 / $2,187.76
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,122.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $954.99 / $2,511.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $1,096.48 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $1,174.90 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,995.26 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $645.65 / $1,819.70
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,258.93 / $1,258.93