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Utah rates for HCPCS 65782

Occular Surface Reconstruction Limbal Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.42 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.84 / $1,206.42 / $2,452.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.65 / $654.48 / $1,008.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,469.55 / $7,330.88 / $10,683.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.64 / $1,642.93 / $2,496.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.95 / $1,146.47 / $1,685.99