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Iowa rates for HCPCS 65782

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,248.07 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,311.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,388.44 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,398.83 / $8,511.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,691.53 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,511.38 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $3,235.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $2,511.89