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Wisconsin rates for HCPCS 65755

Keratoplasty (corneal transplant); penetrating (in pseudophakia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.35 / $4,597.10 / $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
$3,320.63 / $3,880.42 / $6,258.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.41 / $1,695.62 / $2,552.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.69 / $5,390.62 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.41 / $1,695.62 / $2,625.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.80 / $2,940.70 / $4,174.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,879.05 / $11,879.05 / $11,879.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,733.00 / $14,978.00