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Massachusetts rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

Facilitymedian $1,905 · 10th–90th $120$5,1290%5%10%10th90th$1,905Professionalmedian $1,096 · 10th–90th $126$2,6920%10%10th90th$1,096$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
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $954.99 / $1,995.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,235.94 / $9,332.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $912.01 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $707.95 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $977.24 / $3,090.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,621.81 / $2,089.30
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $1,174.90 / $2,951.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,235.94 / $9,332.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $912.01 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,248.07 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $1,023.29 / $3,019.95