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Massachusetts rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,754.23 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $741.31 / $1,862.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,344.23 / $5,128.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,071.52 / $1,862.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $724.44 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,380.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,819.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,398.83 / $6,606.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,630.78 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $891.25 / $1,862.09