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Delaware rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.02 / $1,491.37 / $1,575.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.62 / $1,171.57 / $2,981.31