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Illinois rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.22 / $2,989.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.06 / $151.22 / $241.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.31 / $85.31 / $116.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $185.05 / $243.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.43 / $116.81 / $1,155.14
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.59 / $86.78 / $97.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $963.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.35 / $90.24 / $164.85