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Massachusetts rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.80 / $2,254.34 / $3,734.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $3,728.00 / $9,849.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.31 / $2,577.44 / $7,619.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.60 / $685.88 / $1,348.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.41 / $2,643.41 / $2,650.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,911.68 / $3,911.68 / $3,911.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.90 / $1,932.32 / $5,962.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.69 / $962.02 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.80 / $2,904.90 / $4,087.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.90 / $2,489.96 / $6,319.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,006.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.67 / $3,554.42 / $14,563.92
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
$2,436.50 / $3,483.54 / $6,511.39