go back

Tennessee rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.72 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.95 / $159.85 / $191.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $139.00 / $388.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.25 / $178.54 / $358.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.45 / $156.24 / $371.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $908.00 / $908.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.00 / $935.00 / $1,077.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.50 / $128.96 / $281.80