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Washington, DC 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
$162.18 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $162.18 / $426.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $331.13 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $549.54 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $269.15 / $741.31