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California rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.62 / $7,018.00 / $17,538.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.14 / $1,816.57 / $4,195.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $5,977.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.51 / $907.11 / $6,566.09
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,290.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.36 / $1,612.47 / $3,624.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.31 / $4,238.30 / $5,777.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.07 / $1,968.02 / $4,908.79
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.00 / $1,946.38 / $3,670.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.17 / $1,916.97 / $4,050.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,576.00 / $3,695.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,619.24 / $14,563.92 / $17,114.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.24 / $1,795.07 / $3,691.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.20 / $2,066.64 / $5,457.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.07 / $1,454.07 / $8,058.69
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.47 / $2,259.71 / $3,308.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,307.00 / $12,313.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.15 / $2,345.78 / $5,624.43