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North Carolina 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
$124.06 / $909.59 / $1,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.95 / $124.06 / $178.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.46 / $179.04 / $360.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.13 / $174.25 / $307.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.60 / $172.28 / $172.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.28 / $172.28 / $172.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $125.15 / $279.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $908.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.00 / $1,077.45 / $1,077.45