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Texas rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,500.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.22 / $1,737.15 / $3,198.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.95 / $3,300.00 / $7,975.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.77 / $1,699.97 / $3,012.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.61 / $376.61 / $2,103.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.73 / $3,669.73 / $3,789.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.71 / $1,979.81 / $3,467.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,695.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,619.24 / $14,563.92 / $17,114.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.77 / $1,587.49 / $3,298.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.73 / $2,162.96 / $3,342.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.84 / $1,867.63 / $2,428.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.77 / $1,680.87 / $3,513.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.90 / $2,078.80 / $3,698.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,931.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.68 / $2,434.23 / $3,532.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.21 / $1,867.63 / $2,671.65