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Massachusetts rates for HCPCS 65757

Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure)

Facilitymedian $2,692 · 10th–90th $234–$5,6230%10%10th90th$2,692Professionalmedian $195 · 10th–90th $132–$3550%10%20%10th90th$195$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $2,818.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $218.78 / $263.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $630.96 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $181.97 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $234.42 / $416.87
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $213.80 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $204.17 / $245.47
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $186.21 / $363.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $630.96 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $181.97 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $186.21 / $407.38