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Illinois 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
$630.96 / $3,235.94 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $245.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $128.82 / $1,288.25
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
$87.10 / $87.10 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $831.76 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $91.20 / $147.91