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Oklahoma 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
$741.31 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $147.91 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $524.81 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $109.65 / $151.36