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Massachusetts rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,117.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.37 / $926.81 / $1,068.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,510.26 / $4,983.00 / $10,138.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.01 / $1,061.06 / $4,641.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.55 / $1,176.64 / $1,571.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.99 / $1,283.18 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.94 / $818.03 / $1,129.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.72 / $1,453.54 / $6,292.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.51 / $815.51 / $815.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,572.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.93 / $1,129.57 / $4,641.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,402.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.67 / $1,051.34 / $2,047.20