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Maine rates for HCPCS 65756

Keratoplasty Endothelial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.21 / $1,812.83 / $2,631.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.13 / $1,513.45 / $2,234.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.38 / $2,110.44 / $2,526.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.76 / $1,671.59 / $2,564.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.73 / $1,812.82 / $7,498.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.69 / $1,653.99 / $2,248.05