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Maryland rates for HCPCS 65779

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

Facilitymedian $2,239 · 10th–90th $1,380–$2,2390%50%10th$2,239Professionalmedian $794 · 10th–90th $151–$1,6220%10%10th90th$794$100.0$200.0$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $794.33 / $1,621.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $112.20 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $933.25 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $2,238.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $891.25 / $1,778.28
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $1,230.27 / $1,659.59