go back

Louisiana rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.33 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.91 / $2,111.85 / $3,734.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,685.45 / $6,180.35 / $9,124.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.08 / $654.37 / $2,924.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.48 / $1,371.31 / $3,344.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.68 / $2,467.75 / $4,448.35