go back

Oklahoma rates for HCPCS 65779

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $1,204.01 / $1,262.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.78 / $3,306.56 / $5,279.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.14 / $1,144.15 / $1,571.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.68 / $1,011.17 / $1,712.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.82 / $1,415.00 / $6,228.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.32 / $1,269.58 / $4,269.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.05 / $1,269.58 / $1,615.33