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Indiana rates for HCPCS 65779

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

Facilitymedian $10,233 · 10th–90th $1,820–$18,6210%10%10th90th$10,233Professionalmedian $417 · 10th–90th $141–$1,4450%5%10%10th90th$417$100.0$500.0$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $741.31 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $14,454.40 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $346.74 / $537.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $549.54 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $912.01 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $7,413.10 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $954.99 / $1,819.70