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West Virginia rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.91 / $1,319.91 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.70 / $1,319.91 / $2,308.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.32 / $1,486.30 / $1,619.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.72 / $1,362.44 / $1,610.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.10 / $1,628.10 / $1,628.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.39 / $1,375.19 / $1,925.26