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Rhode Island rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.81 / $1,460.93 / $1,462.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.30 / $1,566.24 / $2,504.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $8,699.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.43 / $1,359.50 / $2,251.06