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Maine rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.70 / $193.70 / $241.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $156.16 / $156.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.04 / $228.65 / $273.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $181.23 / $278.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.70 / $193.70 / $287.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.80 / $216.99 / $270.51