go back

Tennessee rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $3,863.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.39 / $1,664.80 / $1,982.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $5,138.00 / $7,782.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.51 / $1,605.17 / $3,602.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,399.16 / $20,130.09 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,591.60 / $9,867.04 / $10,852.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,103.00 / $6,073.00 / $9,717.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.61 / $1,427.48 / $2,663.37