go back

Wyoming rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $80.15 / $1,433.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $247.00 / $5,184.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$192.00 / $370.50 / $7,776.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.85 / $139.81 / $2,645.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.37 / $2,772.19 / $4,800.91