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Rhode Island rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $250.00 / $261.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $76.58 / $124.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.71 / $168.10 / $265.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,417.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.35 / $112.14 / $179.42