go back

Massachusetts rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.81 / $1,489.64 / $2,127.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $5,097.00 / $16,742.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.98 / $1,862.83 / $9,591.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.02 / $974.02 / $2,643.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.14 / $2,127.50 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.91 / $1,808.37 / $2,496.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.37 / $3,245.30 / $7,600.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.01 / $1,897.53 / $9,591.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,063.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.01 / $1,735.91 / $3,745.96