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Washington, DC rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.26 / $1,671.70 / $1,671.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.21 / $1,863.61 / $10,912.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.69 / $1,580.17 / $3,004.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.62 / $1,240.02 / $3,720.07