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Pennsylvania rates for HCPCS 65782

Occular Surface Reconstruction Limbal Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.33 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.37 / $1,138.13 / $1,825.74
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.88 / $1,161.09 / $2,069.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.79 / $1,343.79 / $1,732.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,198.12 / $5,198.12 / $5,198.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.37 / $1,312.18 / $5,992.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.09 / $1,222.09 / $1,222.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.60 / $1,097.54 / $1,097.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.60 / $1,097.54 / $1,162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,502.00 / $8,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.42 / $1,249.30 / $2,126.87