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Idaho rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.78 / $2,042.35 / $2,841.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.16 / $2,314.28 / $3,012.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.54 / $2,145.94 / $2,545.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,318.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,600.42 / $10,875.97 / $15,835.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.96 / $2,621.34 / $2,640.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.67 / $1,775.19 / $2,558.83