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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,606.93 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $218.78 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $389.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $269.15 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,548.82 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $186.21