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Idaho rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.04 / $270.30 / $270.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.49 / $166.63 / $218.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.02 / $245.57 / $286.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.85 / $138.85 / $138.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $186.92 / $3,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.27 / $253.27 / $259.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.08 / $165.25 / $230.42