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New Jersey rates for HCPCS 65779

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

Facilitymedian $5,888 · 10th–90th $2,692–$10,9650%10%10th90th$5,888Professionalmedian $912 · 10th–90th $145–$1,9500%5%10%10th90th$912$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
$2,570.40 / $5,888.44 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $912.01 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $977.24 / $2,884.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,412.54 / $1,905.46
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $11,748.98 / $19,054.61
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $1,122.02 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,918.31 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $870.96 / $1,905.46