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New Jersey rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.92 / $6,986.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.10 / $1,314.84 / $2,127.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,864.39 / $3,864.39 / $4,247.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.91 / $1,554.48 / $3,656.74
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,457.45 / $12,544.29 / $25,476.73
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.92 / $1,400.23 / $2,164.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,667.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.33 / $1,284.60 / $2,565.42