CPT 65778 is a medical code for the "Placement Of Amniotic Membrane On The Ocular Surface; Without Sutures". It is used by healthcare providers to document and receive reimbursement for visits involving high-level medical decision-making, often including multiple diagnoses or prescription management.

How do private insurance rates differ for CPT 65778?

Private insurance rates for CPT 65778 are typically negotiated rates between individual providers and insurance companies, leading to variations based on contract terms, provider credentials, and market dynamics.

What factors affect the fee schedule for CPT 65778?

Key factors that affect fee schedules for CPT 65778 include Medicare & Medicaid Rates (government-set), Private Insurance Rates (negotiated), Geographic Location (costs may be higher in urban areas), and Provider Type (hospital providers may have different rates than private practice).

How can I find out the cost of a specific medical procedure or service?

To find out the cost of a specific medical procedure or service, especially based on CPT codes and your specific location, you should use a dedicated fee schedule lookup tool. Payerprice offers a fee schedule lookup tool that allows you to search with CPT codes and specific locations to get accurate pricing information. This can help you understand potential costs before receiving care.

What is a CPT code and why is it important for understanding healthcare costs?

CPT stands for Current Procedural Terminology. CPT codes are five-digit numerical codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are essential for understanding healthcare costs because these codes are used for billing and determining the reimbursement rates for various procedures. Knowing the CPT code for a service helps you look up its potential cost.

Where can I compare prices for medical services in my area?

To compare prices for medical services in your area, particularly by CPT code and location, it's recommended to use specialized platforms. Payerprice provides a fee schedule lookup tool that enables users to search for prices based on CPT codes and specific locations, helping you compare costs and make informed decisions about your healthcare.

Why do healthcare costs vary so much for the same service?

Healthcare costs can vary significantly due to many factors, including the provider's specific negotiated rates with insurance companies, the facility type (hospital vs. outpatient clinic), geographical location, the complexity of the service, and the patient's insurance plan. To understand the specific costs for a service in your area, using a tool like Payerprice can help you see different fee schedules based on CPT codes and location.

CPT 65778 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Amniotic Membrane Graft On Eye, Graft Of Amniotic Tissue To The Eye Surface. The Procedure Helps Certain Types Of Wounds Such As Chemical Burns To Heal Well. This Type Of Graft Is Also Used For Glaucoma-Related Fluid Leaks.

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Eye and Ocular Adnexa
Common Place of Service	11 - Office None 99 - Other POS
Common Modifiers	None LT - Left side of body RT - Right side of body
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 65778
Medicaid Fee Schedule	View Medicaid rates for 65778

National average reimbursement for CPT 65778 by major payers:

$1,326.55

$1,803.68

$1,836.14

$2,128.90

Compare published rates across providers.

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CPT 65778

5 of 25 sample ratesHigher to lower in this preview

Varun Pawar
NYOphthalmology PhysicianNPI 1346685971Tax ID 61-1661781
$3,820.55Published rate
Peter Menger
North Shore-Lij Medical PC
NYOphthalmology PhysicianNPI 1477545572Tax ID 45-3023019
$1,897.16Published rate
Michael Sable
Adam T Nomberg Md PC
NYOphthalmology PhysicianNPI 1891788337Tax ID 11-3564714
$1,554.61Published rate
Daniel Polla
Physician Affiliate Group Of New York PC
NYOphthalmology PhysicianNPI 1326402561Tax ID 90-0603487
$1,417.52Published rate
Kimberly Uy
NYOptometristNPI 1013460120Tax ID 46-4532544
$639.86Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 65778 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes

The CPT 65778 code is part of the Surgery services used for Surgical Procedures on the Eye and Ocular Adnexa. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 65778 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
65778-CPT	High	Amniotic Membrane Graft On Eye, Graft Of Amniotic Tissue To The Eye Surface. The Procedure Helps Certain Types Of Wounds Such As Chemical Burns To Heal Well. This Type Of Graft Is Also Used For Glaucoma-Related Fluid Leaks.
65779-CPT	High	Amniotic Membrane Graft On Eye, Graft Of Amniotic Tissue To The Eye Surface. The Procedure Helps Certain Types Of Wounds Such As Chemical Burns To Heal Well. This Type Of Graft Is Also Used For Glaucoma-Related Fluid Leaks.
65780-CPT	Moderate	Surgery On Surface Of The Eye, Surgery To Reconstruct The Surface Of The Eye With Transplanted Tissue. The Procedure May Involve More Than One Layer Of The Eye Surface.
65781-CPT	High	Surgery On Surface Of The Eye, Surgery To Reconstruct The Surface Of The Eye With Transplanted Tissue. The Procedure May Involve More Than One Layer Of The Eye Surface.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65778. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 65778 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 65778 Fee Schedule

Varun Pawar

Peter Menger

Michael Sable

Daniel Polla

Kimberly Uy