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Texas rates for HCPCS 65782

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.00 / $3,682.00 / $12,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.37 / $1,235.26 / $1,825.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.01 / $1,066.01 / $1,124.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.08 / $4,909.47 / $9,443.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.38 / $1,273.27 / $1,743.90
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.44 / $2,936.02 / $6,373.60
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.06 / $1,269.67 / $1,705.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.47 / $952.47 / $994.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.73 / $1,401.73 / $1,401.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,087.89 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,284.24 / $8,521.60 / $9,380.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.89 / $1,369.11 / $2,005.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.41 / $1,429.30 / $1,979.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.19 / $1,094.52 / $1,281.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.89 / $1,376.62 / $2,172.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.01 / $1,501.24 / $2,178.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.59 / $1,173.63 / $1,869.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.36 / $1,066.01 / $1,490.48