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Maryland rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.31 / $164.16 / $250.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.97 / $333.08 / $349.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $138.38 / $292.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.75 / $133.47 / $174.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $89.00 / $89.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.28 / $255.01 / $469.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.26 / $229.26 / $229.26