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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $2,818.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $263.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $630.96 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $186.21 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $245.47 / $436.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $302.00 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $281.84
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,862.09 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $213.80 / $371.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $741.31 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $181.97 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $181.97 / $389.05