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Missouri rates for HCPCS 65782

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.70 / $1,265.29 / $1,748.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.00 / $1,283.23 / $1,932.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.73 / $4,569.72 / $5,786.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.29 / $3,220.64 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.27 / $1,379.16 / $8,521.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.27 / $1,379.16 / $2,205.67