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West Virginia rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.37 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.75 / $771.09 / $3,734.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.84 / $495.01 / $539.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.40 / $1,867.46 / $2,316.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.94 / $730.94 / $730.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.33 / $1,836.79 / $4,000.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.78 / $2,433.98 / $3,887.75