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Indiana rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.07 / $2,005.72 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.07 / $1,000.00 / $2,384.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.00 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.87 / $514.67 / $804.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.09 / $538.30 / $965.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.49 / $2,184.59 / $3,276.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $646.00 / $3,995.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.23 / $1,631.53 / $3,014.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.17 / $2,507.27 / $4,258.38