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Utah rates for HCPCS 65756

Keratoplasty Endothelial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.78 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$870.59 / $870.59 / $870.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.73 / $1,160.78 / $2,527.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.88 / $1,634.78 / $2,113.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.65 / $683.07 / $1,066.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,275.72 / $7,825.28 / $11,234.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.46 / $1,692.73 / $2,482.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.32 / $1,190.83 / $1,872.64