go back

Massachusetts rates for HCPCS 65782

Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $2,951.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,187.76 / $2,187.76
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,995.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,905.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,778.28 / $3,235.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $5,623.41 / $11,220.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,548.82 / $3,235.94