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Mississippi rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,831.00 / $3,071.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.70 / $1,330.16 / $3,204.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.59 / $2,386.59 / $2,386.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.00 / $2,211.00 / $2,211.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,740.17 / $9,438.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.61 / $1,495.45 / $2,790.32