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Georgia rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.52 / $5,063.00 / $7,391.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.47 / $1,616.03 / $3,164.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.65 / $3,640.00 / $8,094.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.26 / $1,748.76 / $3,203.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.02 / $2,688.80 / $74,999.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.10 / $1,628.10 / $1,628.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.12 / $2,055.00 / $10,333.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.61 / $1,901.94 / $2,112.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $7,299.00 / $11,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.22 / $1,625.58 / $2,842.19