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Florida rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.51 / $5,839.00 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.51 / $1,236.76 / $2,127.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.10 / $5,588.06 / $6,695.13
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,790.00 / $12,742.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.83 / $914.62 / $1,499.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $973.93 / $1,732.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.07 / $1,249.02 / $2,168.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.45 / $1,004.45 / $1,004.45