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Missouri rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.51 / $1,465.52 / $2,025.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.00 / $1,489.03 / $2,239.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.10 / $5,287.10 / $6,695.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.52 / $3,731.38 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.24 / $1,598.04 / $9,867.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,516.00 / $4,000.00 / $6,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.19 / $1,518.10 / $2,556.69