go back

Alabama rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,527.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.39 / $1,863.58 / $2,800.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,335.83 / $5,248.86 / $7,061.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.40 / $1,622.00 / $1,622.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,430.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.63 / $1,272.52 / $1,672.19