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Indiana rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.76 / $2,453.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.76 / $1,314.84 / $1,498.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $10,700.00 / $17,513.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.17 / $1,471.30 / $1,982.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.95 / $1,605.09 / $2,427.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.95 / $1,438.74 / $2,158.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.96 / $1,628.10 / $2,687.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $8,736.00 / $15,660.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.74 / $1,427.48 / $2,354.38