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Colorado rates for HCPCS 65757

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.12 / $148.94 / $250.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.16 / $176.98 / $253.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.84 / $158.79 / $204.44
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.05 / $148.94 / $247.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $171.62 / $232.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,464.00 / $3,011.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $149.15 / $239.90