go back

Missouri rates for HCPCS 65770

Keratoprosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,128.61 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,265.80 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,265.80 / $12,589.25