go back

Indiana rates for HCPCS 65782

Occular Surface Reconstruction Limbal Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.60 / $2,453.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.60 / $1,135.16 / $1,294.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $10,284.00 / $16,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.22 / $1,268.59 / $1,709.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.53 / $1,386.32 / $2,096.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.53 / $1,294.41 / $1,863.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.39 / $1,401.73 / $2,319.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.00 / $7,818.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.84 / $1,253.66 / $2,248.81