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North Carolina rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.47 / $2,010.16 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.76 / $1,272.47 / $1,863.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.78 / $2,463.88 / $4,023.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.47 / $1,596.99 / $1,949.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.17 / $1,649.00 / $1,649.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,928.90 / $12,081.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.90 / $1,359.50 / $3,527.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,399.16 / $20,130.09 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,591.60 / $9,591.60 / $10,852.43