go back

Virginia rates for HCPCS 65782

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.20 / $5,412.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.27 / $1,135.16 / $1,825.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.58 / $1,312.17 / $1,854.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.64 / $2,421.19 / $4,337.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.73 / $1,401.73 / $1,401.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.90 / $1,242.23 / $1,601.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.80 / $1,398.00 / $2,064.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.00 / $1,569.00 / $2,115.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.56 / $1,431.99 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.56 / $1,431.99 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.38 / $1,094.56 / $1,883.74