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Arizona rates for HCPCS 65782

Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.37 / $1,187.68 / $6,072.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,670.74 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.13 / $1,034.18 / $1,111.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.53 / $2,492.09 / $7,217.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.63 / $1,131.54 / $8,521.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,250.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.63 / $1,131.54 / $2,208.48