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New Jersey 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
$250.00 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.06 / $241.09 / $742.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.74 / $117.83 / $260.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.26 / $116.62 / $274.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.73 / $313.17 / $486.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $183.02 / $559.47