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Minnesota rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.59 / $131.59 / $131.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.59 / $139.06 / $219.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $55.02 / $102.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $88.50 / $88.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.10 / $248.44 / $597.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.55 / $198.57 / $312.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.41 / $227.14 / $470.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.45 / $168.25 / $286.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.78 / $149.87 / $1,749.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.08 / $171.39 / $406.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.08 / $163.06 / $374.37