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Texas rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.00 / $3,682.00 / $12,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.31 / $1,430.45 / $2,283.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,398.31 / $5,994.78 / $11,378.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.70 / $1,474.26 / $2,019.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.41 / $1,099.41 / $1,148.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.10 / $1,628.10 / $1,628.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,591.60 / $9,867.04 / $10,852.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.39 / $1,561.72 / $2,306.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.29 / $1,908.77 / $5,478.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.55 / $1,261.57 / $1,431.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.39 / $1,585.58 / $2,468.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.96 / $1,738.61 / $2,522.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,530.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.66 / $1,352.33 / $2,028.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.05 / $1,234.29 / $1,725.02