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South Carolina rates for HCPCS 65757

Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure)

Facilitymedian $2,344 · 10th–90th $158–$16,5960%10%10th90th$2,344Professionalmedian $151 · 10th–90th $112–$1950%10%20%10th90th$151$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $158.49 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $199.53 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $194.98 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $158.49 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,174.90 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $112.20 / $194.98