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Utah rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $250.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $250.00 / $270.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.02 / $191.12 / $225.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $185.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.69 / $183.73 / $280.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.97 / $111.20 / $180.22