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Pennsylvania rates for HCPCS 65756

Keratoplasty Endothelial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.60 / $5,252.00 / $10,527.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$855.05 / $943.96 / $943.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.21 / $1,175.80 / $1,995.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.09 / $1,199.73 / $2,133.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.00 / $1,444.00 / $1,444.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.91 / $1,220.07 / $2,104.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.70 / $1,382.70 / $1,783.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,108.06 / $8,497.32 / $24,810.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.35 / $1,416.85 / $2,378.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,742.00 / $11,182.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$943.96 / $943.96 / $943.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.25 / $1,278.04 / $3,738.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.70 / $1,118.70 / $1,415.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.00 / $1,444.00 / $1,444.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.88 / $1,222.81 / $2,104.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.94 / $1,131.94 / $1,203.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.70 / $1,131.94 / $1,203.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.00 / $3,914.00 / $8,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.52 / $1,337.34 / $2,236.04