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Arkansas rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.19 / $1,520.32 / $1,863.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,063.64 / $4,063.64 / $4,876.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.55 / $1,858.96 / $2,065.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,667.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.39 / $1,388.09 / $2,436.77