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Maryland rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.01 / $1,575.26 / $1,671.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.00 / $1,401.21 / $1,471.27
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
$1,348.35 / $1,550.60 / $2,022.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.00 / $2,118.00 / $2,118.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.62 / $1,240.02 / $2,320.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.76 / $1,417.41 / $1,550.60