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Oklahoma rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.44 / $4,728.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.04 / $1,426.04 / $1,520.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.68 / $3,900.00 / $10,198.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.64 / $1,332.31 / $2,248.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,369.00 / $9,953.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.59 / $1,323.88 / $1,699.38