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Minnesota rates for HCPCS 65782

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,244.36 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,265.80 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,311.31 / $5,370.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $7,943.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,089.30 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,079.46 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,041.74 / $4,073.80