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Arizona rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.49 / $148.94 / $250.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.35 / $2,547.38 / $4,035.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.56 / $457.98 / $492.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.68 / $143.46 / $302.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.04 / $716.00 / $2,029.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.63 / $111.86 / $277.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,488.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.46 / $111.86 / $220.18