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Kentucky rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.00 / $1,430.56 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.39 / $1,353.23 / $1,666.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.00 / $4,261.00 / $11,262.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.79 / $1,176.71 / $1,761.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.03 / $1,665.75 / $1,903.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.82 / $1,665.75 / $2,379.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.96 / $1,571.96 / $1,628.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $860.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $3,811.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.53 / $1,400.29 / $2,354.38