go back

Tennessee rates for HCPCS 65779

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

Facilitymedian $2,630 · 10th–90th $575$6,1660%10%10th90th$2,630Professionalmedian $562 · 10th–90th $141$1,8620%5%10%10th90th$562$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
$467.74 / $2,290.87 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $562.34 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,168.69 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $512.86 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $831.76 / $1,819.70
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $3,388.44 / $3,388.44
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,332.54 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,466.84 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $870.96 / $1,905.46