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Iowa rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.11 / $219.08 / $219.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.59 / $194.04 / $276.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $97.79 / $799.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.59 / $376.82 / $1,966.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.43 / $140.18 / $406.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.48 / $229.13 / $393.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.43 / $200.63 / $400.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,623.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.29 / $117.55 / $204.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.47 / $65.15 / $65.15