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Minnesota rates for HCPCS 65757

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $69.18 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $263.03 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $331.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $251.19 / $489.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $288.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $151.36 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $165.96 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $331.13