go back

Massachusetts rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.07 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.27 / $720.07 / $1,132.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,376.00 / $4,870.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.79 / $967.82 / $3,576.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.08 / $755.40 / $1,333.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.78 / $1,159.83 / $1,721.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.49 / $567.49 / $567.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.34 / $1,055.77 / $1,872.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $794.64 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.55 / $963.75 / $1,330.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.88 / $1,303.31 / $2,132.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,362.46 / $8,498.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.17 / $1,108.96 / $4,969.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.42 / $974.27 / $2,093.82