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Wyoming rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.48 / $1,320.48 / $1,320.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,863.00 / $6,246.00 / $7,495.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.30 / $2,623.84 / $4,262.68