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Louisiana rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.00 / $2,418.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.20 / $2,080.38 / $2,312.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,783.58 / $7,572.96 / $11,161.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.64 / $1,744.55 / $2,175.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.51 / $1,415.29 / $2,651.98