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Oregon rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.50 / $3,641.50 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.12 / $194.72 / $270.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $286.49 / $347.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.25 / $230.61 / $256.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.47 / $194.72 / $278.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.85 / $138.85 / $172.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.52 / $103.57 / $110.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.10 / $194.72 / $278.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.78 / $270.95 / $371.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.94 / $249.20 / $347.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.24 / $205.08 / $305.74