go back

Maryland rates for HCPCS 65782

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.37 / $1,360.98 / $1,445.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.89 / $1,241.64 / $1,303.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.73 / $1,401.73 / $1,401.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.31 / $1,340.11 / $1,747.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.00 / $1,079.63 / $2,004.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.53 / $1,224.71 / $1,340.11