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Arizona rates for HCPCS 65757

Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure)

Facilitymedian $2,570 · 10th–90th $708–$6,4570%10%10th90th$2,570Professionalmedian $145 · 10th–90th $107–$2510%10%20%10th90th$145$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,754.23 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $489.78 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $151.36 / $316.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $707.95 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $114.82 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,023.29 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $213.80