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Connecticut rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,509.27 / $6,851.00 / $12,718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.38 / $2,127.06 / $3,471.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.98 / $2,432.89 / $2,886.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.54 / $1,554.48 / $2,013.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.77 / $1,602.93 / $3,745.96