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Wisconsin rates for HCPCS 65750

Keratoplasty (corneal transplant); penetrating (in aphakia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.26 / $4,612.62 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,330.54 / $3,892.00 / $6,277.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.28 / $1,704.56 / $2,560.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.08 / $5,266.00 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.28 / $1,704.56 / $3,068.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.00 / $2,950.20 / $4,187.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,907.95 / $14,907.95 / $14,907.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00