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Oregon 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
$194.98 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $154.88 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $213.80 / $239.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $194.98 / $275.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $263.03
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $104.71 / $109.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $181.97 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $131.83 / $331.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $309.03