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Idaho rates for HCPCS 65782

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,584.89 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,248.07 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $2,290.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,995.26 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,709.64 / $12,302.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $2,398.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,698.24 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $9,332.54 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,548.82 / $2,238.72