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Pennsylvania rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.44 / $3,069.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.65 / $140.44 / $261.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.77 / $323.52 / $530.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.74 / $135.72 / $233.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.62 / $116.62 / $150.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.96 / $155.96 / $155.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,264.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.31 / $156.60 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.18 / $129.83 / $196.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $304.83 / $304.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $298.54 / $304.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $294.12 / $565.60