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Minnesota rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.97 / $1,404.97 / $9,023.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.97 / $1,563.80 / $2,841.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.51 / $8,221.73 / $18,574.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.87 / $2,800.52 / $4,613.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,267.98 / $4,636.80 / $11,154.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.84 / $3,655.12 / $5,748.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,658.01 / $4,239.14 / $8,783.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.58 / $3,097.10 / $5,271.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.68 / $2,445.69 / $9,793.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.48 / $2,471.88 / $5,371.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.99 / $2,370.73 / $4,962.18