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Kentucky rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.65 / $261.38 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.95 / $138.68 / $236.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $10,099.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.83 / $530.45 / $729.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.19 / $141.71 / $835.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.94 / $141.71 / $202.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.26 / $142.26 / $142.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.45 / $132.75 / $592.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $45.00 / $65.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.37 / $103.58 / $222.87