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Massachusetts rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $1,231.55 / $2,358.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.27 / $1,798.55 / $4,689.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $1,542.01 / $4,623.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.16 / $65.20 / $128.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.18 / $586.22 / $3,180.59
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$538.67 / $538.67 / $879.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.34 / $1,230.45 / $3,510.49
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.70 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.73 / $1,806.35 / $2,556.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.25 / $1,541.73 / $3,414.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.25 / $1,710.34 / $2,435.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,338.00 / $8,498.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.07 / $2,213.58 / $8,992.87
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
$1,393.81 / $2,105.67 / $4,491.01