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Michigan rates for HCPCS 65757

Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure)

Facilitymedian $4,898 · 10th–90th $170–$4,8980%50%10th$4,898Professionalmedian $151 · 10th–90th $100–$2630%10%10th90th$151$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $158.49 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $151.36 / $229.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $190.55 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $208.93
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $123.03 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,202.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $89.13 / $158.49