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Rebuilding The Eye Surface With Amniotic Graft

Delaware rates for HCPCS 65780

Repairs a badly damaged surface of the eye using amniotic membrane, a thin sheet of tissue from the lining of the placenta that is donated, screened and preserved for surgical use. The membrane is laid over the injured area and held in place so healing tissue can grow underneath it. It is used for chemical burns, deep scarring and surface defects that will not close on their own.

Rates data updated July 2026.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $676 to $7,244Professionalmedian $759 · 10th to 90th $617 to $955
$1K$2K$5Kfacility $6,607professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$912.01