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Wyoming rates for HCPCS 65782

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.35 / $1,140.35 / $1,140.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,338.00 / $5,396.00 / $6,475.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.56 / $2,265.11 / $3,861.01