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Wisconsin rates for HCPCS 65756

Keratoplasty (corneal transplant); endothelial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,754.40 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $2,884.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,290.87 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $3,162.28 / $4,365.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,025.60 / $13,182.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,951.21 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $7,244.36 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $8,709.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,344.23 / $3,630.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $11,748.98 / $11,748.98
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$5,623.41 / $8,317.64 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $5,754.40 / $8,511.38
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $10,471.29 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,022.64 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,995.26 / $5,011.87