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Washington rates for HCPCS 65778

Placement of amniotic membrane on the ocular surface; without sutures

Facilitymedian $2,399 · 10th–90th $93$7,9430%5%10th90th$2,399Professionalmedian $1,230 · 10th–90th $60$2,6300%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
$97.72 / $3,311.31 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $1,230.27 / $2,398.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,818.38 / $5,495.41
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $181.97 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $1,071.52 / $3,311.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $1,737.80 / $3,630.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $177.83 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,187.76 / $2,691.53
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,862.09 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $1,479.11 / $3,162.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,818.38 / $5,495.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $181.97 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $3,162.28 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $1,288.25 / $2,884.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $169.82 / $2,951.21