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Alaska rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

Facilitymedian $1,622 · 10th–90th $115–$8,1280%10%10th90th$1,622Professionalmedian $1,148 · 10th–90th $174–$3,3880%5%10th90th$1,148$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $1,148.15 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $512.86 / $3,548.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $1,202.26 / $3,019.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $1,202.26 / $4,365.16
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $4,265.80 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $1,202.26 / $5,623.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $223.87 / $1,621.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $1,000.00 / $2,818.38