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Florida rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $5,839.00 / $11,624.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.12 / $131.74 / $250.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $715.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.18 / $138.44 / $286.01
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.00 / $2,666.00 / $6,584.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.88 / $123.61 / $262.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $221.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $1,911.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.94 / $103.67 / $251.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.61 / $156.16 / $156.16